inforMED
MalfunctionLHC

ORS-321 SLUSH WARMER DISC DRAPE

Received Oct 26, 2017

Report 8043817-2017-00029 · MDR key 6979429

Device

Generic name

Fluid Warming And Slush Drapes

Model number

ORS-321

Lot number

UNKNOWN

Product problems

  • Hole In Material
  • Hole In Material

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

NO SAMPLES WERE RETURNED FOR THIS INVESTIGATION AND A LOT NUMBER WAS NOT PROVIDED TO PERFORM A DHR REVIEW. SINCE NO LOT NUMBER OR SAMPLE WAS PROVIDED THE NON CONFORMITY COULD NOT BE CONFIRMED. IT WAS NOT DETERMINED IF THIS ISSUE WAS RELATED TO A PERSONNEL, PROCESS OR MATERIAL ISSUE. MELTS, THOUGH UNCOMMON, CAN OCCUR WHEN THE WARMER IS NOT DRAPED PROPERLY, NOT TURNED OFF BY USING THE POWER BUTTON, AND/OR THERE IS INSUFFICIENT FLUID IN THE WARMER BASIN, CONTRARY TO THE OPERATIONS MANUAL, PRODUCT LABELING, PRODUCT INSERT AND IN-SERVICE PRESENTATIONS. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, A FOLLOW UP REPORT WILL BE SUBMITTED.

Description of Event or Problem

AN END USER REPORTED THAT THE DRAPE HAD A MELT SPOT IN IT. NO PATIENT INJURY OR TREATMENT WAS REPORTED FOR THE INCIDENT.