inforMED
MalfunctionLHC

WARMER DRAPE

Received Nov 15, 2015 · Event occurred Sep 22, 2015

Report 8043817-2015-00008 · MDR key 5224017

Device

Generic name

Fluid Warming And Slush Drapes

Model number

ORS-100

Lot number

D132311

Product problems

  • Strikethrough

Patient

Not reported

  • No Code Available

Narrative

Additional Manufacturer Narrative

AN INVESTIGATION WAS COMPLETED AT THE MANUFACTURING SITE IN THE (B)(4). BASED ON THE DMR REVIEWED, PRODUCT NUMBER ORS-100, LOT NUMBER D152311 HAD (B)(4) PIECES THAT WERE MANUFACTURED ON 08/18/2015. NO DEFECTS WERE REPORTED IN PROCESS, PACKAGING OR FINAL INSPECTION. THE INVESTIGATION REVEALED THAT THIS PROBLEM WAS NOT DUE TO AN ASSEMBLY, MATERIAL, OR PROCESS ISSUE. NO PRODUCT HAS BEEN RETURNED. SINCE NO DEVICE WAS RETURNED FOR ANALYSIS, THE ROOT CAUSE FOR THE EVENT HAS NOT BEEN DETERMINED.

Description of Event or Problem

AN END USER FOUND THAT A WARMER DRAPE HAD A HOLE IN IT. THE DRAPE WAS REMOVED AND NOT USED ON THE PATIENT. A NEW DRAPE FROM THE SAME LOT WAS OPENED; THERE WAS NO HOLE IN THE SECOND DRAPE. THE REPORT WAS FOR PART NUMBER ORS-100, LOT NUMBER 1037708. BECAUSE THE DRAPE WAS NOT USE ON THE PATIENT, IT APPEARS THERE WAS NO ADVERSE EVENT.