inforMED
MalfunctionMBP

DBP PUTTY 5CC

Received Jun 22, 2012

Report 2090010-2012-00003 · MDR key 2629162

Device

Generic name

Na

Catalog number

10-220-1050

Lot number

112241

Product problems

  • Contamination /Decontamination Problem
  • Device Operates Differently Than Expected

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

CUSTOMER REPORTED BLACK SPOTS WERE OBSERVED IN THE PRODUCTS. CUSTOMER BELIEVES IT MIGHT BE MOLD. THE PRODUCT WAS NOT USED ON PT.

Additional Manufacturer Narrative

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVAL. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFO.