(b)(4).A device history record review was performed on the kit and the ampules with no relevant findings.The customer reported broken ampules in the kit.The customer returned one opened kit which contained a saline solution ampule broken into two pieces for investigation (reference attached files (b)(4)).The ampule was visually examined with and without magnification.Visual examination of the ampule revealed the ampule is broken at the score line.No pieces of the ampule appear to be missing.No other defects or anomalies were observed (reference files (b)(4)).A corrective action is not required at this time as it cannot be determined at what point the saline ampule broke.However, shipping and handling could not be eliminated as potential causes.The reported complaint of a broken ampule was confirmed based upon the sample received.The saline ampule was found to have broken at the score line.No pieces of the ampule were missing.A device history record review was performed on the kit and the ampules with no evidence to suggest a other remarks: manufacturing related cause.Therefore, the potential cause of a broken ampule could not be determined.However, shipping and handling could not be eliminated as potential causes.Results - no result code available that could accurately describe that the complaint was confirmed, but the root cause is unknown.
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