(b)(4).The complaint sample was received and a visual inspection was performed on the product.The lot number and the size was the same as the complaint description.After verifying the product the actual defect was the airway tube was detached from the backplate.The inflation line also was detached from the cuff.On visual inspection of the airway tube and backplate it was observed that the awt-backplate joint area, showed the airway tube area has glue mark on the airway tube.In the device history review for the packaging lot 11f22do273 no abnormalities were found.In the device history review for the assembly process for the affected lot no nonconformance were issued.Since there was the presence of glue on the airway tube area and airway tube was detached due to patient clenching his teeth the root cause identifies as undetermined/unknown.There was limited information related to how the patient clenched the part or how doctor/user remove the device.In conclusion, based on the complaint description of "cuff separated from tube during use", reviewing of the device history of the packaging and assembly lot, there was no abnormality found.After reviewing the sample received, the defect was the same as the complaint description, the airway tube was detached from the backplate.Since there was glue marking present on the airway tube area and the airway tube was detached due to the patient clenching his teeth, the root cause identifies as undetermined/unknown.
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