inforMED
MalfunctionMAL

8MM 30CM HEMASHIELD PLAT WDV

Received Nov 24, 2014 · Event occurred Oct 27, 2014

Report 2242352-2014-01262 · MDR key 4307379

Device

Generic name

Vascular Graft

Model number

M00202175208P0

Lot number

25096092

Product problems

  • Device Contamination with Chemical or Other Material

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE HOSPITAL REPORTED THAT YELLOW FOREIGN MATTER WAS FOUND ATTACHED TO THE 8MM 30CM HEMASHIELD PLAT WDV WHEN THE MEDICAL STAFF OPENED THE PACKAGE. THE SURGEON CUT THE PART WHERE THE FOREIGN MATTER WAS ATTACHED OUT AND USED THE REST OF THE GRAFT FOR THE PATIENT WHO HAD ACUTE AORTIC DISSECTION AS BLOOD TRANSMISSION. THE PART WHERE THE FOREIGN MATTER WAS ATTACHED WILL BE RETURNED FOR INVESTIGATION.

Additional Manufacturer Narrative

THE DEVICE HAS BEEN RETURNED TO THE FACTORY AND IS BEING EVALUATED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETED. A LOT HISTORY RECORD REVIEW WAS COMPLETED FOR THE REPORTED PRODUCT LOT NUMBER. THERE WAS NO NONCONFORMANCE RECORDED IN THE LOT HISTORY. THERE ARE NO OTHER SIMILAR COMPLAINTS REPORTED AGAINST THIS BATCH. (B)(4).