Distribution history: the complaint product was manufactured at csi stafford on 05/10/21 under work order (b)(4).Manuf.Record review: dhr - 239059 and sub-assembly used dhr-300638 for pn:23667-1 occluder balloon were reviewed and no non-conformities, related to the complaint condition, were noted.Incoming inspection review incoming inspection record review not applicable to this product.Service hist.Record service history record not applicable to this product.Historical complaint review a review of the 2-year complaint history did not show similar reported complaint conditions, where slips.Product receipt the complaint product has not been returned to coopersurgical.Visual eval.Evaluation of the complaint unit could not be completed as the complaint unit has not been returned.If the unit should be returned at a later date, it will be evaluated, and any findings will be appended to this investigation.Functional evaluation of the complaint unit could not be completed as the complaint unit has not been returned to coopersurgical.If the unit should be returned at a later date, it will be evaluated, and any findings will be appended to this investigation.Root cause during investigation it was found that dhr-300638 was used to assemble the complaint product, no non-conformities, related to the complaint condition, were noted.It is possible that during usage the device was removed from the patient without deflation of the occluder balloon, causing the balloon to slip off, the product ifu mentions prior to removing the advincula delineator from the uterus, remove air from both the uterine tip balloon and the pneumo occlusion balloon.Coopersurgical will continue to monitor this complaint condition for trends.No further corrective action is necessary, as the complaint condition was not confirmed.
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