SMITH & NEPHEW, INC. SUTURE, #2 WHITE, ULTRABRAID, 38"; SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE
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Model Number 72200886 |
Device Problem
Tear, Rip or Hole in Device Packaging (2385)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 08/17/2022 |
Event Type
malfunction
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Event Description
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It was reported that during set up, a suture #2 ultrabraid had holes in the product´s package, observed by the nurse before usage.There was a back-up device available and non-significant delay was reported.There was no patient involvement.
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Manufacturer Narrative
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Internal complaint reference: (b)(4).
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Manufacturer Narrative
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Internal complaint reference (b)(4).H3, h6: the reported device was received for evaluation.A visual evaluation of the device showed that it was not returned in the original outer packaging.The individual pouch has the batch number of the complaint on the label.The vendor seal is complete and sealed.The open/non-chevron end had, at some point, been folded over and stapled but then the staple was removed leaving only the holes and a fold line.There is no indication that the pouch has been sealed.There is no "frost" from the tyvek and nylon or mylar being sealed together at any point across the open/non-chevron end.A review of device records showed there were no indications to suggest that the product did not meet manufacturing specification upon release for distribution.A complaint history review found similar reported events.A risk management review found that the reported failure and/or harm was documented appropriately, and there were no indications to suggest the anticipated risk is not adequate.A review of the package assembly, found the pouch seal strength to be a minimum of 1 lbs/inch minimum.The root cause was associated to manufacturing.The complaint was escalated to the manufacturing team and after review has determined no containment or corrective actions are recommended at this time.Internal complaint reference (b)(4).
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