inforMED
MalfunctionKPY

DRAPE ARMOUR

Received Feb 3, 2017

Report 8043817-2017-00003 · MDR key 6301447

Device

Generic name

Radiation Protection

Model number

RBFPS101L

Lot number

D160121

Product problems

  • Material Disintegration

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE DHR WAS REVIEWED FOR LOT D160121. THIS LOT HAD (B)(4) PCS AND WAS MANUFACTURED ON 01/14/2016 IN COMBINED SHIFT. NO DEFECTS RELATED TO THE NON CONFORMANCE WERE OBSERVED DURING THE QUALITY INSPECTION. BASED ON THE REVIEW OF THE DEVICE HISTORY RECORD, THE NON CONFORMITY DOESN'T APPEAR TO BE THE RESULT OF A PERSONNEL, PROCESS, OR MATERIALS ISSUE. NO SAMPLE WAS RECEIVED FOR EVALUATION.

Description of Event or Problem

CUSTOMER STATED THAT DURING A PROCEDURE THE DRAPE WAS SATURATED WITH BLOOD AND THEY WERE RUNNING A LINE BACK AND FORTH OVER THE PAD IN AND OUT OF THE FEMORAL ACCESS AND THE COVERING TO THE PAD DISINTEGRATED. THIS WAS CONSIDERED COMPROMISING TO PATIENT SAFETY. NO PATIENT INJURY OR TREATMENT WAS REPORTED FOR THE INCIDENT.