inforMED
MalfunctionFMP

GEL-E DONUT - MEDIUM

Received Sep 24, 2014

Report 1218950-2014-07323 · MDR key 4309744

Device

Model number

92025-C

Lot number

USE BY DATE OF 2015-02-09

Product problems

  • Device Contamination with Chemical or Other Material

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED THAT THE SURGERY DEPARTMENT DISCOVERED 2 SMALL BLACK SPOTS ON PRODUCT. THERE WAS NO REPORTED PT INCIDENT/INJURY.

Additional Manufacturer Narrative

(B)(4). QTY SURGERY DEPARTMENT DISCOVERED 2 SMALL BLACK PORTS ON IT. THERE WAS NO REPORTED PT INCIDENT/INJURY. THE 92025-C GEL-E DONUT WAS EVALUATED. THE 92025-C GEL-E DONUT FUNCTIONED AS DESIGNED. REPLACEMENT 92025-C GEL-E DONUT WAS ORDERED AND SHIPPED TO THE CUSTOMER SITE. RETURNED 92025-C GEL-E DONUT WILL BE SCRAPED AFTER THE EVAL HAS BEEN COMPLETED. THERE WAS NOT A PRODUCT MALFUNCTION, FOUND TO BE PERFORMING AS DESIGNED. NO FORMAL RESPONSE WAS REQUESTED AND NONE IS WARRANTED.