inforMED

ECOLAB

Received Nov 25, 2015 · Event occurred Oct 26, 2015

Report 1047429-2015-00006 · MDR key 5250645

Device

Generic name

Warmer Drape

Manufacturer

Ecolab

Model number

OEM-ORS-320

Lot number

D1518181RC, D151611RC, D151941

Product problems

  • Fluid/Blood Leak
  • Hole In Material

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

AVID MEDICAL IS THE MANUFACTURER OF A CUSTOM PROCEDURE TRAY THAT CONTAINS A WARMER DRAPE PART # OEM-ORS-320 MANUFACTURED BY ECOLAB. AVID MEDICAL RECEIVED A COMPLAINT ON (B)(6) 2015 ORIGINATED BY (B)(6) HOSPITAL STATING "WARMER DRAPE THAT HELD SALINE / ANTIBIOTIC MIXTURE NOTED TO BE WET ON THE BOTTOM AFTER COMPLETION OF CASE. UPON INSPECTION TWO HOLES NOTED ON DRAPE. PHYSICIAN NOTIFIED, ADDITIONAL ANTIBIOTICS FOR PATIENT." AVID MEDICAL AND ECOLAB WERE BOTH NOTIFIED OF THIS COMPLAINT ON (B)(6) 2015 BY THE ORIGINATOR (B)(6). AVID MEDICAL ISSUED FORMAL (B)(4) TO ECOLAB ON (B)(6) 2015 FOR TWO HOLES IN ONE EACH SLUSH WARMER DRAPE PART # OEM-ORS-320. THE FOLLOWING WARMER DRAPE LOT #'S WERE USED TO BUILD AVID MEDICAL'S CUSTOM PROCEDURE TRAY D1518181RC, D151611RC, D151941RC, D151331RC, D152221RC, D151451RC, D151351RC, D152161RC, D151601RC. NO FURTHER INFORMATION ON THE PATIENT IS AVAILABLE.