inforMED
MalfunctionLHC

WARMER DRAPE

Received Jan 3, 2017

Report 8043817-2017-00001 · MDR key 6219443

Device

Generic name

Fluid Warming And Slush Drapes

Model number

ORS-300N

Lot number

D153281A

Product problems

  • Hole In Material

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE DRAPE THAT WAS REPORTED TO HAVE THE NONCONFORMITY WAS RECEIVED FOR EVALUATION. DURING INITIAL REVIEW OF THE DRAPE, A HOLE COULD NOT BE LOCATED. THE DRAPE WAS THEN PUT ON A WARMER AND WATER WAS ADDED. A SLIT WAS THEN LOCATED. THE SLIT LOOKED TO BE MADE BY A SHARP OF SOME KIND THAT WAS PLACED IN THE BASIN. THE DHR WAS REVIEWED FOR LOT D153281A. THIS LOT HAD (B)(4) PIECES AND IT WAS MANUFACTURED ON 11/24/16. NO DEFECTS WERE REPORTED DURING QUALITY INSPECTIONS. BASED ON THE REVIEW OF THE SAMPLE AND THE DEVICE HISTORY RECORD, THE NON CONFORMANCE DOES NOT APPEAR TO BE THE RESULT OF A PERSONNEL, PROCESS, OR MATERIAL ISSUE. IT APPEARS THAT THE "HOLE" THAT WAS FOUND IN THE DRAPE IS A SLIT THAT WAS CAUSED BY A SHARP OF SOME KIND THAT WAS PLACED IN THE BASIN. BECAUSE THIS APPEARS TO BE RELATED TO MISUSE BY THE CUSTOMER, NO ACTIONS ARE BEING TAKEN AT THIS TIME.

Description of Event or Problem

HOLE IN THE FLUID WARMER DRAPE.