Aspen surgical received a report from the distributor indicating that the seal of a scalpel holder pouch was compromised.The item was not in use and no injury/death was reported.A sample was available for evaluation.A manufacturing lot number was provided for review.Analysis of the finished good lot number was reviewed.No non-conformance's were noted during the manufacturing process.A review of the sample confirmed the seal issue.Upon review, the tyvek seal paper was not aligned with the film pocket causing the seal to not fully form.This occurs during startup or material change to be completed by operators per specified work instructions.Therefore, the root cause contributing to the event was due to operating error.Additionally, the pouch label identifies this failure mode with the symbol "do not use if package is damaged".This indicates that the device should not be used if the products sterile barrier system or its packaging is compromised.Based on this information, no further action is required.
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