inforMED
MalfunctionHHT

PURITAN HISTOBRUSH

Received Jun 21, 2016 · Event occurred Apr 4, 2016

Report 1216735-2016-00002 · MDR key 5738558

Device

Generic name

Cytology Brush

Model number

2199

Catalog number

2199

Lot number

18636

Product problems

  • Loss of or Failure to Bond
  • Loss of or Failure to Bond

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

WE HAVE A 5-YEAR MARKET HISTORY OF (B)(4) CYTOLOGY DEVICES PER YEAR. THIS IS THE FIRST REPORT OF A BRUSH FAILURE. THE PRODUCTION RECORDS AND RESERVE SAMPLES FROM THE LOT WERE NORMAL. THIS REPORT IS ENTERED IN OUR TREND ANALYSIS PROGRAM AND WILL BE MONITORED FOR SIMILAR CLAIMS.

Description of Event or Problem

THE CUSTOMER REPORTS THAT THE END OF THE CYTOLOGY BRUSH CAME OFF DURING A PAP SMEAR PROCEDURE. THE DOCTOR RETRIEVED THE BRUSH.