inforMED
MalfunctionFMC

3611 LITE GLOVE

Received Aug 31, 2016

Report 9612030-2016-00417 · MDR key 5918416

Device

Generic name

Lite Glove

Manufacturer

Covidien

Model number

31140208

Catalog number

31140208

Lot number

5278104064

Product problems

  • Torn Material

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

THE LOT NUMBER WAS PROVIDED AND THE DEVICE HISTORY RECORD (DHR) WAS REVIEWED INDICATING THAT THE PRODUCT WAS RELEASED ACCOMPLISHING ALL QUALITY STANDARDS. 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: 08/31/2016. AN INVESTIGATION IS CURRENTLY UNDER WAY. 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 STATES: LITE GLOVE TEARS APART WHEN PUT OVER LIGHT ADAPTER. NO PATIENT HARM, NO PATIENT PRESENT.