inforMED
MalfunctionMJJ

RETROGUARD ARTERIAL SAFETY VALVE

Received Feb 24, 2018

Report 1649914-2018-00023 · MDR key 7294368

Device

Generic name

Cpb Check Valve

Manufacturer

Quest Medical, Inc

Model number

4007100

Catalog number

4007100

Product problems

  • Crack
  • Crack

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE COMPLAINT SAMPLE WAS EVALUATED AND A LONGITUDINAL CRACK WAS SEEN ON THE HOUSING OF THE VALVE. THE NATURE OF THE CRACK SUGGESTS THAT THE CRACK MAY HAVE RESULTED FROM A BLUNT FORCE IMPACT ON THE DEVICE. THE MANUFACTURING PROCESS FOR THIS DEVICE INVOLVES A 100% VISUAL AND FUNCTIONAL INSPECTION. EACH DEVICE IS ALSO FUNCTIONALLY TESTED FOR LEAK, FORWARD FLOW AND RETROGRADE FLOW. NO LOT NUMBER WAS PROVIDED BY THE CUSTOMER TO ENABLE A DHR REVIEW. HOWEVER, A 24 MONTHS COMPLAINT HISTORY REVIEW WAS COMPLETED FOR THE PART NUMBER AND NO SIMILAR COMPLAINT WAS IDENTIFIED. THIS COMPLAINT IS AN ISOLATED INCIDENT AND THE ROOT CAUSE IS UNKNOWN.

Description of Event or Problem

A REPORT RECEIVED FROM A CUSTOMER STATES THAT A CRACK WAS SEEN ON THE RETROGUARD VALVE DURING PRIME. THE ALLEGED ISSUE DID NOT RESULT IN ANY PATIENT COMPLICATIONS.