inforMED
InjuryGDM

MONOJECT

Received Nov 29, 2017 · Event occurred Oct 11, 2017

Report 1282497-2017-05497 · MDR key 7069428

Device

Generic name

Needle, Aspiration And Injection, Reusable

Manufacturer

Covidien

Model number

8881245164

Catalog number

8881245164

Lot number

170300024

Product problems

  • Break
  • Break

Patient

Not reported

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Additional Manufacturer Narrative

A DEVICE HISTORY RECORD (DHR) WAS REVIEWED AND WAS CONFIRMED THAT PRODUCTS WERE PRODUCED ACCOMPLISHING QUALITY REQUIREMENTS. TWO USED SAMPLES WERE RECEIVED FOR EVALUATION. THE PRODUCT IS PROVIDED BY AN EXTERNAL SUPPLIER. THE SAMPLES WERE ANALYZED AND A DETACHMENT OF THE DEVICE WAS OBSERVED. THE REPORTED CONDITION IS CONFIRMED. THE ROOT CAUSE HAS BEEN ADDRESSED WITH THE SUPPLIER. ALL THE INVESTIGATION, PREVENTIVE AND CORRECTIVE ACTIONS FOR THIS COMPLAINT WILL BE DOCUMENTED ON A FORMAL CORRECTIVE AND PREVENTATIVE ACTION (CAPA) REQUESTED THROUGH A SUPPLIERS CORRECTIVE ACTION REQUIREMENT (SCAR). A QA ALERT WAS ISSUED AT THE CARDINAL SITE FOR THE INCOMING INSPECTION AREA TO ALERT THEM TO ELEVATE THE INSPECTION PROCESS. THIS COMPLAINT WILL BE USED FOR TRACKING AND TRENDING PURPOSES. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative

SUBMIT DATE: 11/29/2017. AN INVESTIGATION IS CURRENTLY UNDERWAY. UPON COMPLETION, THE RESULTS WILL BE FORWARDED. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem

THE CUSTOMER REPORTS THAT THE BONE MARROW NEEDLE BROKE DURING A PROCEDURE.