MICROTEK MEDICAL
Received Sep 10, 2015 · Event occurred May 24, 2015
Report 8043817-2015-00004 · MDR key 5068476
Device
Generic name
Fluid Warming Drape
Manufacturer
Microtek Medical Inc.Model number
ORS-100Catalog number
ORS-100
Lot number
D150301
Product problems
- Device Issue
Patient
64 YR
- Missing Value Reason
Narrative
Additional Manufacturer Narrative
(B)(4) COMPLAINT DEPARTMENT HAS CONTACTED (EMAIL AND CALLED) THE USER FACILITY, (B)(4), TWO TIMES PER THE FOLLOWING DATES: (B)(6) 2015, (B)(6) 2015. THERE HAS BEEN NO RESPONSE FROM THE USER FACILITY TO THE (B)(4) COMPLAINT DEPARTMENT. NO PRODUCT HAS BEEN RETURNED. SINCE NO DEVICE WAS RETURNED FOR ANALYSIS THE ROOT CAUSE FOR THE EVENT CAUSE FOR THE EVENT HAS NOT BEEN DETERMINED.
Description of Event or Problem
THERE WAS A MEDWATCH REPORTED BY (B)(4) TO FDA. (B)(4) RECEIVED THE REPORT ON (B)(6) 2015. THE REPORT STATED THAT THERE WAS A HOLE IN THE IRRIGATION WARMING DRAPE THAT CONTAMINATED THE IRRIGATION USED ON THE BRAIN; LEADING TO A CONTAMINATED CASE. CANCO POWDER WAS APPLIED TO THE BRAIN AFTER IRRIGATION WITH FRESH SOLUTION. THE OUTCOME IS UNKNOWN BUT THERE IS AN INCREASED RISK OF INFECTION.