inforMED
MalfunctionFMC

3611 LITE GLOVE

Received Aug 22, 2016 · Event occurred Aug 10, 2016

Report 9612030-2016-00380 · MDR key 5893565

Device

Generic name

Lite Glove

Manufacturer

Covidien

Model number

31140208

Catalog number

31140208

Lot number

6286101464X

Product problems

  • Split

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE LOT NUMBER WAS PROVIDED; HOWEVER, THE LOT PROVIDED WAS INCORRECT. A DEVICE HISTORY RECORD COULD NOT BE PERFORMED. THE DHR REVIEW SHOWED THAT ALL ACCEPTANCE CRITERIA INSPECTIONS PER ESTABLISHED SAMPLING LEVELS WERE WITHIN ACCEPTABLE LIMITS DURING THE PRODUCTION PROCESS. A DECONTAMINATED SAMPLE WITHOUT ORIGINAL PACKAGE OR LOT NUMBER WAS RECEIVED AND THE REPORTED ISSUE WAS CONFIRMED; THE LITE GLOVE IS RIPPED. A CORRECTIVE AND PREVENTATIVE ACTION (CAPA) HAS BEEN OPENED TO DETERMINE THE ROOT CAUSE OF THIS REPORTED EVENT. WHEN ROOT CAUSE(S) IS DETERMINED THE APPROPRIATE ACTIONS WILL BE TAKEN TO ADDRESS THE REPORTED CONDITION. IF ADDITIONAL INFORMATION IS RECEIVED THIS COMPLAINT WILL BE REOPENED. THIS COMPLAINT WILL BE USED FOR TRACKING AND TRENDING PURPOSES.

Additional Manufacturer Narrative

SUBMIT DATE: 08/22/2016. AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED.

Description of Event or Problem

IT WAS REPORTED TO COVIDIEN ON (B)(6) 2016 THAT A CUSTOMER HAD AN ISSUE WITH A LITE GLOVE. THE CUSTOMER REPORTS THAT WHILE PLACING THE SCIALYTIC LAMP, THE PHYSICIAN NOTICED THAT THE HANDLE OF THE DEVICE WAS SPLIT. THERE WAS NO HARM TO THE PATIENT, NO EXTRA SURGERY TIME.