inforMED
InjuryIFP

90 ML PREFILLED PJ

Received May 18, 2018 · Event occurred Apr 13, 2018

Report 1419341-2018-00001 · MDR key 7526550

Device

Generic name

90 Ml Prefilled Pjs

Model number

3800780

Lot number

022720

Product problems

  • Leak/Splash
  • Device Damaged Prior to Use
  • Leak/Splash
  • Device Damaged Prior to Use

Patient

Not reported

  • Respiratory Distress
  • Chemical Exposure
  • Respiratory Distress
  • Chemical Exposure

Narrative

Additional Manufacturer Narrative

INVESTIGATION ACTIONS AND TIMELINE: A SUPPLIER CORRECTIVE ACTION (SCAR 38) WAS ISSUED TO THE SUPPLIER OF THE JARS USED IN THE MANUFACTURE OF THE IMPACTED PRODUCT (PART NUMBER 3800780). THIS SCAR WAS ISSUED BASED ON PRELIMINARY FINDINGS THAT INADEQUATE SEALING OF THE JAR PACKAGING WAS CONTRIBUTING TO PRODUCT LEAKING DURING TRANSIT. DUE TO THE INABILITY OF THE SUPPLIER TO RESOLVE THE ISSUE WITH THEIR CURRENT JAR DESIGN, A NEW JAR SUPPLIER WAS QUALIFIED UNDER CAPA 2018-006, AND JARS FROM THE ORIGINAL SUPPLIER WERE DISCONTINUED ON (B)(6) 2018. ROOT CAUSE: JAR PACKAGING FROM THE ORIGINAL SUPPLIER WAS NOT ADEQUATELY SEALING TO PREVENT LEAKING DURING TRANSIT. CORRECTIVE ACTION: CAPA 2018-006 DOCUMENTS THE QUALIFICATION OF A NEW JAR SUPPLIER FOR PART NUMBER 3800780. BASED ON A REVIEW OF COMPLAINTS SINCE THE IMPLEMENTATION OF THE NEW JARS FROM THIS SUPPLIER AND DISCONTINUING THE ORIGINAL SUPPLIER ON 12/03/2018, ZERO REPORTED COMPLAINTS HAVE BEEN RECEIVED FOR LEAKING OF PART NUMBER 3800780, INDICATING THE EFFECTIVENESS OF THE CORRECTIVE ACTIONS TAKEN.

Description of Event or Problem

ON (B)(6), 2018, PRODUCT WAS RECEIVED BY CUSTOMER MATERIALS MANAGEMENT DEPARTMENT AND ARRIVED LEAKING AND DAMAGED. OUTER CASE PACKAGING WAS REPORTED TO BE DRY WHILE THE INNER CASE PACKAGING WAS REPORTED TO BE WET FROM LEAKAGE. CUSTOMER EMPLOYEE WHO OPENED THE OUTER CASE PACKAGING WAS EXPOSED TO FORMALIN FUMES AND SOUGHT MEDICAL ATTENTION FOR RESPIRATORY PROBLEMS. NO FOLLOW UP MEDICAL ATTENTION WAS REQUIRED, EMPLOYEE WAS RELEASED THE SAME DAY. PRODUCT WAS DISPOSED OF BY THE CARRIER.

Additional Manufacturer Narrative

AN INVESTIGATION OF THE INCIDENT IS CURRENTLY UNDERWAY AND A FOLLOW-UP WILL BE SUBMITTED SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE FOLLOWING THE INVESTIGATION.

Description of Event or Problem

ON (B)(6) 2018, PRODUCT WAS RECEIVED BY CUSTOMER MATERIALS MANAGEMENT DEPARTMENT AND ARRIVED LEAKING AND DAMAGED. OUTER CASE PACKAGING WAS REPORTED TO BE DRY WHILE THE INNER CASE PACKAGING WAS REPORTED TO BE WET FROM LEAKAGE. CUSTOMER EMPLOYEE WHO OPENED THE OUTER CASE PACKAGING WAS EXPOSED TO FORMALIN FUMES AND SOUGHT MEDICAL ATTENTION FOR RESPIRATORY PROBLEMS. NO FOLLOW UP MEDICAL ATTENTION WAS REQUIRED, EMPLOYEE WAS RELEASED THE SAME DAY. PRODUCT WAS DISPOSED BY THE CARRIER.