inforMED
MalfunctionFSH

ILLINOIS NEEDLE BONE MARROW 15G ADJ LE

Received Jan 31, 2020 · Event occurred Jan 6, 2020

Report 9680904-2020-00003 · MDR key 9654553

Device

Generic name

Tray, Surgical, Needle

Manufacturer

Carefusion, Inc

Catalog number

DIN1515X

Lot number

0001314966

Product problems

  • Unsealed Device Packaging
  • Unsealed Device Packaging

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

(B)(4) -FOLLOW UP EMDR FOR DEVICE EVALUATION. FOUR PHOTO SAMPLES WERE PROVIDED TO OUR QUALITY TEAM FOR INVESTIGATION. THREE OF THE PHOTOS POINT TO WHERE THE FAILURE OCCURRED AND A HOLE IN THE POUCHES CAN BE OBSERVED. BASED ON THE INSPECTION PERFORMED, THE FAILURE MODE COULD BE CONFIRMED. A REVIEW OF THE INTERNAL MANUFACTURING DEVICE RECORD AND RAW MATERIAL HISTORY FILES FOR THE REPORTED LOT NUMBER WAS PERFORMED AND NO RECORDED QUALITY PROBLEMS OR REJECTIONS RELATED TO THIS INCIDENT WERE FOUND. IT WAS CONFIRMED THAT PROCEDURAL AND FUNCTIONAL REQUIREMENTS NEEDED FOR ITS RELEASE WERE MET. BASED ON THE QUALITY TEAM'S INVESTIGATION, THE ROOT CAUSE OF THIS INCIDENT HAS NOT YET BEEN DETERMINED. A PROJECT HAS BEEN OPENED TO FURTHER INVESTIGATE AND ADDRESS THIS INCIDENT. H3 OTHER TEXT : SEE MANUFACTURER NARRATIVE.

Description of Event or Problem

DAMAGED/DEFECTIVE SEAL.

Additional Manufacturer Narrative

(B)(4). INITIAL EMDR SUBMISSION. A FOLLOW UP EMDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION BECOMES AVAILABLE. (B)(4).

Description of Event or Problem

DAMAGED/DEFECTIVE SEAL.

Remedial action

  • Other