inforMED
MalfunctionGDY

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

Received Jul 14, 2025 · Event occurred Jun 7, 2021

Report 2951379-2021-00001 · MDR key 22503005

Device

Generic name

Sterile Kittner Roll

Model number

15508/25

Lot number

1338

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 1338. PACKAGE LABELED AS 5PK 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.

Description of Event or Problem

CUSTOMER REPORTED THERE IS NO CARDBOARD BACKING. THEY ARE INDIVIDUALLY PLACED IN THE PACKAGE. THIS PACKAGE HAS 6 ROLLS INSTEAD OF 5 KITTNER ROLLS IN A 5PK.

Remedial action

  • Replace