inforMED
MalfunctionMJJ

RETROGUARD ARTERIAL SAFETY VALVE

Received Dec 27, 2018

Report 1649914-2018-00100 · MDR key 8200216

Device

Generic name

Cpb Check Valve

Manufacturer

Quest Medical, Inc

Model number

4007100

Catalog number

4007100

Lot number

0560968E06

Product problems

  • Device Contamination with Chemical or Other Material

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

THE ALLEGED INCIDENT OCCURRED OUTSIDE OF THE US. THIS MEDWATCH IS BEING SUBMITTED BECAUSE QUEST DISTRIBUTES A SIMILAR DEVICE IN THE US. AN INVESTIGATION WILL BE CONDUCTED ON THE COMPLAINT SAMPLES AND A FOLLOW MEDWATCH WILL BE SUBMITTED IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

A REPORT WAS RECEIVED REGARDING AN ALLEGED ISSUE WITH THE VALVE. THE REPORT STATES THAT PARTICULATE MATTER WAS FOUND IN THE HOUSING OF THE VALVE DURING CIRCUIT ASSEMBLY. THE DEVICE WAS NOT USED ON A PATIENT.