inforMED
MalfunctionKAM

RELIEVA LUMA SENTRY SINUS ILLUMINATION SYSTEM

Received Aug 21, 2014 · Event occurred Aug 1, 2012

Report 3005172759-2014-00021 · MDR key 4093141

Device

Manufacturer

Acclarent

Model number

NA

Catalog number

SIS100B

Lot number

120306D-CM

Product problems

  • Unsealed Device Packaging

Patient

UNK

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE USER REPORTED HAVING RECEIVED THE SUBJECT DEVICE IN AN OPEN POUCH. ALL OTHER DEVICES WITHIN THE SAME BOX WERE EXAMINED AND CONFIRMED TO BE SEALED. A DEVICE FROM A SEALED POUCH WAS USED TO PERFORM THE PROCEDURE. THE PHENOMENON WAS DISCOVERED BEFORE USE, AND THERE WAS NO ADVERSE IMPACT TO THE PATIENT REPORTED.

Additional Manufacturer Narrative

THE DEVICE, WITH ITS ORIGINAL PACKAGING, WAS RECEIVED AND EVALUATED. ACCLARENT CONFIRMED THAT NO SEAL WAS PRESENT AT THE BOTTOM EDGE OF THE RETURNED POUCH. ACCLARENT HAS TAKEN STEPS TO REDUCE THE LIKELIHOOD OF RECURRENCE, AND WILL CONTINUE TO MONITOR THIS PHENOMENON FOR TRENDING PURPOSES.