inforMED
MalfunctionLHC

ORS-300N WARMER DRAPE

Received May 17, 2018 · Event occurred Apr 17, 2018

Report 8043817-2018-00018 · MDR key 7523908

Device

Generic name

Fluid Warming And Slush Drapes

Model number

ORS-300N

Lot number

D172599

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 SAMPLE WAS RECEIVED FOR EVALUATION. THE DEVICE HISTORY RECORD WAS REVIEWED. THIS LOT HAD (B)(4) PIECES THAT WERE MANUFACTURED FROM 09/18/17 TO 09/19/17. NO DEFECTS WERE REPORTED DURING QUALITY INSPECTIONS BASED ON THE DEVICE HISTORY RECORD, THIS DOES NOT APPEAR TO BE THE RESULT OF 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. NO FURTHER ACTIONS ARE BEING TAKEN AT THIS TIME.

Description of Event or Problem

CUSTOMER REPORTS "WE DISCOVERED A HOLE IN THE WARMER DRAPE ((B)(4)) PROVIDED IN A CRANIOTOMY PACK TODAY" NO PATIENT INJURY OR TREATMENT WAS REPORTED FOR THE INCIDENT.THIS DRAPE IS SOLD NON-STERILE TO A KIT PACKER TO BE INCLUDED IN A PROCEDURE KIT AND STERILIZED BEFORE USE.