inforMED
InjuryMAL

8MM 30CM HEMASHIELD FLAT WDV

Received Mar 5, 2014 · Event occurred Feb 9, 2014

Report 2242352-2014-00273 · MDR key 3703796

Device

Generic name

Vascular Graft

Model number

M00202175208P0

Catalog number

NA

Lot number

25064436

Product problems

  • Fluid/Blood Leak

Patient

NI

  • Blood Loss

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS RETURNED TO THE FACTORY FOR EVAL. IT SHOWED SIGNS OF CLINICAL USAGE AND EVIDENCE OF BLOOD. A VISUAL INSPECTION DID NOT IDENTIFY ANY NONCONFORMITIES WITH THE DEVICE. WHILE WE ARE UNABLE TO DETERMINE THE CAUSE OF THE REPORTED EVENT, ALL OF THE GRAFT MANUFACTURED WITHIN THE REPORTED BATCH PASSED NON-DESTRUCTIVE PERMEABILITY TESTING, PER PRODUCT SPECIFICATION. IN ADDITION, A REP SAMPLE UNDERWENT WATER POROSITY TESTING AND WAS FOUND TO BE WELL WITHIN PRODUCT SPECIFICATIONS. A LOT HISTORY RECORD REVIEW WAS COMPLETED FOR THE REPORTED PRODUCT LOT NUMBER. THERE WAS NO NON-CONFORMANCE RECORDED IN THE LOT HISTORY. (B)(4).

Description of Event or Problem

THE HOSPITAL REPORTED THAT A NOTE WAS OBSERVED ON THE BOX OF A 8MM 30CM HEMASHIELD PLAT WDV STATING "RIGHT AXILLARY 500ML BLOOD LOSS." THE SURGEON STATED THAT THE GRAFT "SWEATED" A LITTLE MORE THAN USUAL. A REPLACEMENT DEVICE WAS USED TO COMPLETE THE PROCEDURE. IT WAS NOT NOTED IF THE PT WAS GIVEN A TRANSFUSION. THE HOSPITAL DID NOT REPORT ANY PT EFFECTS.