inforMED
MalfunctionLRO

AVID MEDICAL'S ORTHO LOWER EXTREMITY TRAY

Received Apr 4, 2025 · Event occurred Mar 5, 2025

Report MW5168614 · MDR key 21774155

Device

Generic name

General Surgery Tray

Model number

WILF004-18

Lot number

1637227

Product problems

  • Device Contamination with Chemical or Other Material

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

HAIR FOUND IN BASIN. 1. WAS THE OUTER PACKAGING OR STERILITY OF THE PACKAGING COMPROMISED? NO. 2. ARE YOU AWARE OF ANY SIMILAR CLINICAL ISSUES WITH THIS PRODUCT? YES. 3. WHO WAS NOTIFIED REGARDING THIS INCIDENT? SURGERY DEPT, LOGISTICS, AND VENDOR. 4. PLEASE PROVIDE PICTURES OF THE DEFECTIVE ITEM IF POSSIBLE. SEE BELOW. 5. WAS THE MANUFACTURER/VENDOR NOTIFIED OF THIS PROBLEM? YES. 6. IF SO, BY WHOM? LOGISTICS/SURGERY. 7. IF SO, WHAT WAS THEIR RESPONSE? INVESTIGATION IS ONGOING. 8. PLEASE PROVIDE THE CASE/REF NO. FOR THE COMPLAINT THAT WAS FILED WITH THE MANUFACTURER. - HAVE NOT RECEIVED THE CASE/REF#. 9. IF NOT, PLEASE FILE A REPORT OF THE INCIDENT WITH THE MANUFACTURER AND FORWARD THE CASE/REF NO. - IT HAS BEEN FILED, CASE/REF# HAS NOT BEEN ASSIGNED. 10. PLEASE PROVIDE THE NAME AND CONTACT INFORMATION FOR THE VENDOR'S/MANUFACTURER'S POC: (B)(4), GOVERNMENT SALES MANAGER - (B)(4). 11. WAS THE PRODUCT IN QUESTION SEQUESTERED? YES. 12. WAS IT RETURNED TO THE VENDOR? YES. 13. WAS AN ADVERSE EVENT REPORTED OR FILED WITH THE FDA IN THE FORM OF A MAUDE REPORT? NO.