inforMED
MalfunctionKSS

GPS3 SINGLE KIT W/BLOOD DRAW

Received Apr 22, 2019 · Event occurred Oct 22, 2018

Report 0001825034-2019-01763 · MDR key 8535443

Device

Generic name

Supplies, Blood-bank

Model number

N/A

Catalog number

800-0675A

Lot number

701344

Product problems

  • Device Damaged Prior to Receipt by User
  • Device Damaged Prior to Receipt by User

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

(B)(4). COMPLAINT SAMPLE WAS EVALUATED AND THE REPORTED EVENT WAS CONFIRMED. VISUAL INSPECTION OF THE RETURNED PRODUCT SHOWED A WHITE, FLAKY MATERIAL, WHICH WAS FROM THE TYVEK LID. THERE WAS EVIDENCE BY THE SEAL MARKS ON THE CAVITY THAT THE PRODUCT HAD BEEN SEALED AT ONE POINT. DEVICE HISTORY RECORD (DHR) WAS REVIEWED AND NO DISCREPANCIES WERE FOUND. THE ROOT CAUSE OF THE REPORTED EVENT IS DUE TO DEVICE MOVEMENT WITHIN THE CAVITY AND CAN BE ATTRIBUTED TO TRANSIT DAMAGE. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS. REPORT SOURCE: (B)(6).

Description of Event or Problem

IT WAS REPORTED THAT WHEN THE PRODUCT WAS OPENED, IT APPEARED THAT THE INSIDE PACKAGING HAD BEEN DAMAGED, AND THERE WERE WHITE FLAKES OVER THE TUBE. ATTEMPTS HAVE BEEN MADE, AND NO FURTHER INFORMATION HAS BEEN REPORTED.