inforMED
MalfunctionGDY

CAREFREE KITTNER TAIL LONG 4" LONG 5PK 25PKS/CS

Received Jul 10, 2025 · Event occurred Jun 20, 2024

Report 2951379-2024-00001 · MDR key 22469675

Device

Generic name

Sterile Kittner Roll

Model number

15508/25

Lot number

1595

Product problems

  • Manufacturing, Packaging or Shipping Problem
  • Manufacturing, Packaging or Shipping Problem

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

CUSTOMER REPORTED INCORRECT QUANTITY IN SKU 15508/25, LOT: 1595. PACKAGE LABELED AS 5-PACK CONTAINED 6 UNITS. THE PRODUCT WAS NOT USED AND NO PATIENT CONTACT OCCURRED. ROOT CAUSE DETERMINED TO BE OPERATOR OVERSIGHT DURING FINAL PACKAGING. STAFF WAS RETRAINED AND ADDITIONAL PACKAGING CHECKS IMPLEMENTED. A REPLACEMENT PRODUCT WAS SENT. DEVICE WAS NOT RETURNED FOR EVALUATION. A VOLUNTARY RECALL WILL BE INITIATED JULY 2025.

Description of Event or Problem

CUSTOMER IDENTIFIED THERE WAS WRONG QUANTITY FOUND WITHIN A KITTNER 5/PACK. THERE WAS A COUNT OF 6 INSTEAD OF 5.

Remedial action

  • Replace