inforMED
MalfunctionHAW

DISPOSABLE REFLECTIVE MARKER SPHERES

Received May 29, 2015 · Event occurred May 20, 2015

Report 3002743211-2015-00026 · MDR key 4805714

Device

Generic name

Reflective Passive Marker Spheres

Model number

41773

Catalog number

41773

Lot number

C102061501

Product problems

  • Material Separation
  • Defective Device
  • Material Integrity Problem

Patient

NA · Unknown

  • No Known Impact Or Consequence To Patient
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THIS EVENT WAS COMMUNICATED BY A CUSTOMER WHO RECEIVED A COMPLAINT FROM (B)(6). THE DESCRIPTION AS PROVIDED BY THE INITIAL COMPLAINANT TO OUR CUSTOMER IS AS FOLLOWS: "THE DEFECTIVE SPHERES SEEM TO HAVE HALF OF THE REFLECTIVE COATING LAYER SOMEWHAT UNWRAPPED FROM THE SPHERE UPON OPENING. THAT IS, THERE IS AN OPEN SEAM BETWEEN THE TWO HEMISPHERES OF REFLECTIVE WRAPPING" FURTHER FOLLOW-UP WITH THE INITIAL COMPLAINANT INDICATES THAT WHEN THE SPHERES WERE SCREWED ON TO THE ARRAY, THEY SPLIT DOWN THE MIDDLE, EVEN WITHOUT MUCH FORCE AND THE TWO HEMISPHERES SEPARATED. INITIAL COMPLAINANT STATED THIS HAPPENED PRIOR TO AND DURING SURGERY. INITIAL COMPLAINANT CONFIRMED NO PATIENT INJURY OR OTHER SERIOUS HARM OCCURRED AND NO SERIOUS DETERIORATION TO PATIENT HEALTH. PROCEDURE WAS COMPLETED WITH A NEW PACKAGE OF SPHERES.

Remedial action

  • Recall