MalfunctionHAW
DISPOSABLE REFLECTIVE MARKER SPHERES
Received Jun 17, 2015
Report 3002743211-2015-00031 · MDR key 4851597
Device
Generic name
Reflective Passive Marker Spheres
Manufacturer
Northern Digital Inc.Model number
41773Lot number
C110091401
Product problems
- Nonstandard Device
Patient
Not reported
- No Information
Narrative
Description of Event or Problem
THIS EVENT WAS COMMUNICATED BY (B)(6) FROM (B)(6) HOSPITAL IN RESPONSE TO A RECALL NOTICE ISSUED FOR THE SAME MODEL OF SPHERES. AS NOTED BY THE COMPLAINANT: "UPON DISTRIBUTION OF THIS RECALL NOTICE INTERNALLY IT WAS DISCOVERED THAT AN INCIDENT AS DESCRIBED IN THE NOTICE HAD OCCURRED AT OUR FACILITY ON THE SAME PRODUCT WITH A DIFFERENT LOT NUMBER." CUSTOMER RETURNED SPHERE AS TWO SEPARATE HEMISPHERES. NO FURTHER INFORMATION WAS PROVIDED BY THE CUSTOMER AS TO THE NATURE OF THE INCIDENT.