inforMED
MalfunctionLHC

ORS-100 SOLUTION WARMER DRAPE

Received Aug 11, 2016

Report 8043817-2016-00042 · MDR key 5868202

Device

Generic name

Fluid Warming And Slush Drapes

Model number

ORS-100

Product problems

  • Melted

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS NOT RETURNED FOR EVALUATION. AS NO DEVICE WAS RETURNED FOR EVALUATION, THE ROOT CAUSE OF THIS ISSUE COULD NOT BE DETERMINED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, A FOLLOW UP REPORT WILL BE FILED.

Description of Event or Problem

THERE IS A SIZABLE CHUNK OF DRAPE MELTED ONTO THE BOTTOM OF THE SOLUTION WARMER. THE SOLUTION STERILITY WAS COMPROMISED HOWEVER NO PATIENT INJURY WAS REPORTED. THE SOLUTION WARMER WAS TESTED BY BIOMED DEPARTMENT AND WAS WITHIN SPEC.