inforMED
MalfunctionJCA

TENDERFOOT HEEL INCISION DEVICE

Received Nov 12, 2013 · Event occurred Sep 2, 2013

Report 2250033-2013-00007 · MDR key 3570088

Device

Catalog number

TF501

Lot number

BE343M, BD354

Product problems

  • Detachment Of Device Component
  • Material Integrity Problem

Patient

Not reported

  • Injury
  • Needle Stick/Puncture

Narrative

Additional Manufacturer Narrative

ADD'L EXPIRATION DATE: 04/2017. THIS MDR SUBMITTED 11/12/2013 (B)(4). THE USER FACILITY REPORTED TWO LOT NUMBERS. BE343M AND BD354. HOWEVER, THE SPECIFIC LOT NUMBER WHICH WAS USED DURING THE EVENT THAT CAUSED THE INJURY WAS UNABLE TO BE VERIFIED. METHOD CODES, ACTUAL DEVICE INVOLVED IN THE EVENT WAS NOT RETURNED TO ITC. THE USER FACILITY RETURNED REOPENED PRODUCT OF LOT #BD354. THE CUSTOMER-RETURNED PRODUCT OF LOT# BD354 ABD ITC'S RESERVE SAMPLES FOR BOTH LOTS (BE343M AND BD354) WERE EVALUATED. DEVICE HISTORY RECORDS FOR BOTH LOT NUMBERS (BE343M AND BD354) WERE REVIEWED AND FOUND PRODUCT TO MEET RELEASE SPECS. NO NON-CONFORMANCES OR OTHER ANOMALIES IDENTIFIED. NO CURRENT COMPLAINT TRENDS WAS FOUND FOR THIS PRODUCT/ISSUE. RESULT CODE: THE COMPLAINT AGAINST LOTS (BE343 AND BD354) WAS NOT CONFIRMED THROUGH THE EVAL TESTING. CUSTOMER-RETURNED SAMPLES FOR LOT# BD354 AND RESERVE SAMPLES OF BOTH LOTS (BE343M AND BD354) MET SPECS. ITC HAS REQUESTED ALL DATA REQUIRED FOR 3500A.

Description of Event or Problem

DISTRIBUTOR REPORTS END USER WAS INJURED DURING USE OF THE TENDERFOOT NEWBORN HEEL INCISION DEVICE. WHILE THE END USER WAS PERFORMING THE HEEL STICK PROCEDURE ON AN INFANT, THE PLASTIC CASING HALVES OF THE DEVICE DISASSEMBLED AND END USER RECEIVED A CUT FROM THE EXPOSED BLADE TO HER LEFT RING FINGER. THE HOSPITAL'S NEEDLE STICK INJURY PROCEDURE WAS FOLLOWED, INCLUDING REPORTING AND BLOOD SPECIMEN TESTING. AT THIS TIME, NO SUBSEQUENT ADVERSE EVENTS ASSOCIATED WITH THIS EVENT HAVE BEEN REPORTED TO PTC. THIS EVENT OCCURRED OUTSIDE OF THE UNITED STATES.