The user facility reported to terumo cardiovascular that prior to cardiopulmonary bypass, during a non clinical activity, 5 different oxygenator units, were found to be missing the original connectors.No patient involvement.
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This follow-up report is submitted to fda in accord with applicable regulations ¿ and as indicated by terumo cardiovascular systems in the initial report submitted to the fda on march 12, 2021.Upon further investigation of the reported event, the following information is new and/or changed: d4 (additional device information - added exp date) g3 (date received by manufacturer) g6 (indication that this is a follow-up report) h2 (follow-up due to additional information and device evaluation) h3 (device evaluated by manufacturer) h4 (device manufacture date) h6 (identification of evaluation codes 10, 11, 3331, 170, 25) type of investigation #1: 10 - testing of actual/suspected device type of investigation #2: 11 - testing of device from same lot/batch retained by manufacturer type of investigation #3: 3331 - analysis of production records investigation findings: 170 - manufacturing process problem identified investigation conclusions: 25 - cause traced to manufacturing the affected sample was returned and no bag of adapters was present.Retention was reviewed and found to contain the bag of adapters.The quantity and presence of the adapters is verified 100% by manufacturing.This should have been detected in manufacturing.All available information has been placed on file in quality management for appropriate tracking, trending, and follow-up.
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