inforMED
MalfunctionFMP

GEL-E DONUT - MEDIUM

Received Sep 24, 2014

Report 1218950-2014-07321 · MDR key 4309758

Device

Model number

92025-C

Lot number

USE BY DATE OF 2015-02-09

Product problems

  • Material Discolored

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED QTY (02) SURGERY DEPARTMENT DISCOVERED 2 SMALL BLACK SPOTS ON PRODUCT. THERE WAS NO REPORTED PT INCIDENT/INJURY.

Additional Manufacturer Narrative

(B)(4). QTY (02) SURGERY DEPARTMENT DISCOVERED 2 SMALL BLACK SPOTS ON PRODUCT. THERE WAS NO REPORTED PT INCIDENT/INJURY. THE 92025-C GEL-E-DONUT WAS EVALUATED. THE 92025-C GEL-E-DONUT WAS FOUND TO BE LEAKING ABOVE THE LETTER "U" ON THE BACK SIDE OF THE BLADDER. REPLACEMENT 92025-C-GEL-E DONUTS WERE ORDERED AND SHIPPED TO THE CUSTOMER SITE. THERE WAS A PRODUCT MALFUNCTION (UNRELATED TO MOLD). FOUND TO BE LEAKING ABOVE THE LETTER "U" ON THE BACK SIDE OF THE BLADDER. NO FORMAL RESPONSE WAS REQUESTED AND NONE IS WARRANTED.