inforMED
MalfunctionDXK

ULTRA ICE PLUS¿

Received Mar 6, 2018

Report 2134265-2018-01394 · MDR key 7315860

Device

Generic name

Catheter, Ultrasound, Intracardiac

Model number

M00499120

Catalog number

9912

Lot number

0021395014

Product problems

  • Device Packaging Compromised
  • Device Packaging Compromised

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

(B)(4).

Description of Event or Problem

IT WAS REPORTED THAT DEVICE PACKAGING WAS COMPROMISED. DURING UNPACKING OF THE ULTRA ICE PLUS¿ IMAGING CATHETER A 1 CM SLIT WAS FOUND IN THE PART WHERE IT WILL BE OPENED. NO PATIENT INVOLVEMENT AS THE DEVICE COULD NOT BE DELIVERED.

Additional Manufacturer Narrative

DEVICE EVALUATED BY MFR., EVAL SUMMARY ATTACHED, METHOD CODES, RESULT CODES, CONCLUSION CODES UPDATED. DEVICE EVALUATED BY MANUFACTURER: THE DEVICE WAS RETURNED FOR ANALYSIS. THE DEVICE RETURNED IN THE ORIGINAL BOX, THE BOX WAS ALREADY OPENED FORM THE CLOSURE STRIP. A SIDE EDGE OF THE HAS A DAMAGE SECTION, HOWEVER, THIS DAMAGE DOES NOT PASS THROUGH THE BOX CARTON, IT'S A DAMAGE IN THE SURFACE OF THE BOX. INSIDE THE BOX ALL THE COMPONENTS AND THE DEVICE WERE IN THEIR SEALED POUCH AND WAS NOT DAMAGE ON THEM. THE MANUFACTURING BATCH RECORD REVIEW CONFIRMED THAT THE DEVICE MET ALL MATERIAL, ASSEMBLY AND PERFORMANCE SPECIFICATIONS. THE INVESTIGATION CONCLUSION IS HANDLING DAMAGE AS THE COMPLAINT WAS CAUSED BY HANDLING OF THE DEVICE OR PORTION OF THE DEVICE WITHOUT DIRECT PATIENT CONTACT. (B)(4).

Description of Event or Problem

IT WAS REPORTED THAT DEVICE PACKAGING WAS COMPROMISED. DURING UNPACKING OF THE ULTRA ICE PLUS¿ IMAGING CATHETER A 1 CM SLIT WAS FOUND IN THE PART WHERE IT WILL BE OPENED. NO PATIENT INVOLVEMENT AS THE DEVICE COULD NOT BE DELIVERED.