The manufacturer received notification of this incident on april 15, 2021.Per the customer, the safety scalpel, as part of an umbilical vessel catheter (uvc) tray, would not open as it was in the locked position, which delayed uvc placement.The customer could not confirm if the scalpel was received in the locked position or if locking occurred in the emergency room.This incident was also reported by the kit manufacturer (3009211636-2020-00727).The safety scalpel associated with the incident is sold in bulk to the kit manufacturer for further packaging into procedure kits.Quality control checks are utilized by the safety scalpel manufacturer to ensure scalpels are not provided in a locked position.The incident was likely due to user error due to misunderstanding of how the safety scalpel opens, closes and locks.Alternative scalpel brands may have sheaths that are fully removed to expose the blade.The manufacturer safety scalpels retract to expose the blade, may be closed for safe passing and can be locked for safe disposal.
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