inforMED
MalfunctionQDY

EXTENDIBLE BRUSH BACKFLUSH INSTRUMENT WITH ACTIVE

Received Feb 22, 2019

Report 1222074-2019-00010 · MDR key 8363449

Device

Generic name

Vitrectomy Fluid/ Gas Handling Handpiece/cannula

Product problems

  • Manufacturing, Packaging or Shipping Problem

Patient

Not reported

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

VISUAL INSPECTION HAS SHOWN THAT THE PRODUCTS IN LOT 2000399465 HAVE A SWEEPER TIP INSTEAD OF A BACKFLUSH TIP. ALL OTHER PARTS OF THE INSTRUMENTS IN LOT 2000399465 ARE CORRECT. THE FAULTY TIP WAS CAUSED BY A PRODUCTION ERROR. A FIELD SAFETY CORRECTIVE ACTION WAS INITIATED TO WITHDRAW ALL PRODUCTS OF THE AFFECTED LOT FROM THE MARKET AND REPLACE THEM WITH THE CORRECT ASSEMBLED PRODUCTS. THE TOTAL LOT CONTAINED 60 PRODUCTS ((12 SETS OF 5)). (B)(4). A DESIGN HISTORY REVIEW WAS PERFORMED. NO DEVIATIONS WERE FOUND IN THE PROCESS AND THE USED ARTICLES. TO PREVENT RECURRENCE, AN AWARENESS TRAINING FOR PRODUCTION STAFF INVOLVED IN THE AFFECTED LOT WAS PERFORMED.

Description of Event or Problem

UPON OPENING THE PACKET AND EXTENDING THE TIP, THE PRODUCT WAS FOUND TO HAVE THE INCORRECT TIP ON IT.