inforMED
MalfunctionMMP

SPY-PHI DRUG DRAPE KIT

Received Oct 14, 2019 · Event occurred Sep 18, 2019

Report 3012345110-2019-00009 · MDR key 9188766

Device

Generic name

Cover, Barrier, Protective

Catalog number

HH9006

Lot number

1906241

Product problems

  • Delivered as Unsterile Product
  • Structural Problem
  • Delivered as Unsterile Product

Patient

Not reported

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

Narrative

Additional Manufacturer Narrative

ALLEGED FAILURE: "DRAPE ISN'T SEALED COMPLETELY" PROBABLE ROOT CAUSE/S: REPORTED ISSUE IS LIKELY DUE TO A FAILURE OF THE BOTTOM POUCH SEAL. THIS SEAL IS APPLIED IN-HOUSE BY DRAPE OEM PREMIER GUARD AND OEM INVESTIGATION IS ONGOING TO DETERMINE ROOT CAUSE. THE PRODUCT WAS RETURNED FOR INVESTIGATION AND THE REPORTED FAILURE MODE WAS CONFIRMED. THE REPORTED FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE.

Description of Event or Problem

IT WAS REPORTED THAT THE STERILE DRAPE WAS NOT SEALED COMPLETELY. NO ADVERSE CONSEQUENCES WERE REPORTED.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem

IT WAS REPORTED THAT THE STERILE DRAPE WAS NOT SEALED COMPLETELY. NO ADVERSE CONSEQUENCES WERE REPORTED.