inforMED
MalfunctionLHC

WARMER DRAPE

Received Feb 22, 2016

Report 8043817-2016-00018 · MDR key 5451870

Device

Generic name

Fluid Warming And Slush Drapes

Model number

ORS-300

Lot number

UNKNOWN

Product problems

  • Leak/Splash

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

SAMPLE DRAPE WAS SOAKED IN BLEACH FOR 45 MINUTES TO 1 HOUR, RINSED, LET DRY, CHECKED USED SAMPLE AND TOOK PHOTOS. THEN VISUALLY CHECKED FOR HOLES OR LEAKS. NO HOLES, LEAKS OR TEARS WERE NOTED IN THE DRAPE. AFTER REVIEWING THE SAMPLE, IT HAS BEEN CONCLUDED THAT THE NON CONFORMITY (HOLE) IS A BURN. MELTS, THOUGH UNCOMMON, CAN OCCUR WHEN THE WARMER IS NOT DRAPED PROPERLY, NOT TURNED OFF BY USING THE POWER BUTTON, AND/OR THERE IS INSUFFICIENT FLUID IN THE WARMER BASIN; AND/OR IF THE WARMER IS OPERATED CONTRARY TO THE OPERATIONS MANUAL, PRODUCT LABELING, PRODUCT INSERT AND IN-SERVICE PRESENTATIONS.

Description of Event or Problem

AN END USER REPORTED THAT THE DRAPES OM-ORS-300 WERE LEAKING DURING SCOPE WARMING PROCEDURES.