inforMED
MalfunctionOCT

DR FOG TREATED SPONGE; STERILE

Received May 29, 2026

Report 3002750084-2026-00053 · MDR key 25337888

Device

Generic name

Anti-fog

Model number

DF-3120

Lot number

499806

Product problems

  • Unsealed Device Packaging

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

COMPLAINANT ALLEGES "STERILIZED FAILURE".

Additional Manufacturer Narrative

THE DEVICE WAS NOT RETURNED FOR EVALUATION, BUT THE COMPLAINT WAS CONFIRMED BASED ON THE PICTURE THAT WAS PROVIDED. THE ROOT CAUSE WAS MANUFACTURING ERROR. THE SAMPLE CONTAINED A SPONGE WITHIN THE PACKAGE SEAL. THE MOST PROBABLE ROOT CAUSE IS RELATED TO MANUAL POUCH LOADING AND MOVEMENT OF THE FOAM DURING THE SEALING PROCESS. LIGHT WEIGHT SPONGE MATERIAL, MANUAL PLACEMENT OF FOAM INTO THE TRAY, AND A SHALLOW POUCH DESIGN MAY ALL CONTRIBUTE, AS WELL AS THE FOAM COLOR CLOSELY MATCHING THE TYVEK MATERIAL SO IT CAN BE DIFFICULT TO DETECT DURING MANUAL END-OF-LINE INSPECTION. THIS SHOULD BE CONSIDERED THE FINAL REPORT. IF ANY ADDITIONAL RELEVANT INFORMATION IS IDENTIFIED IT WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.