MAUDE Adverse Event Report: CONMED CORPORATION 1/4" X 6' SURGICAL TUBING; SUCTION TUBING

Catalog Number 0036280

Device Problem Unsealed Device Packaging (1444)

Patient Problem Not Applicable (3189)

Event Type  malfunction  

Manufacturer Narrative

Two (2) 0036280 1/4" x 6' suction tubing packages were returned for evaluation of "defective seal." the packaging lab results showed the samples failed the visual test.Both packages were found to be compromised due to an open pouch seal with less than 1/4" open on the chevron side of the pouch, therefore, this complaint is confirmed.The devices were manufactured 24-november-2015.A review of the device history record for this lot found no discrepancies during the manufacturing process and no non-conformances regarding this product's identity, quality, safety, effectiveness or performance that could have caused or contributed to this event.Of the lot containing (b)(4) units there were no other similar complaints received.A 2-year history of this device family revealed a total of (b)(4) complaints involving (b)(4) devices related to this failure mode and product.(b)(4).The reported packaging anomalies were obvious to the distributor and therefore prompted the return of the devices for evaluation and replacement.To date, there have been no serious injuries or death related to this reported problem.However, to prevent future recurrences, an investigation has been initiated to address this issue.

Event Description

The distributor in (b)(4) reported that during receiving and inspection of incoming products, 2 packages containing 1/4" x 6' suction tubing was discovered with "defective seal." there was no patient involvement with this reported problem, as the packaging anomaly was discovered during inspection at the distributor facility prior to distribution to an end-user.This report is being filed based on the potential for injury with recurrence.

• Brand Name: 1/4" X 6' SURGICAL TUBING
• Type of Device: SUCTION TUBING
• Manufacturer (Section D): CONMED CORPORATION; 525 french road; utica NY 13502 5994
• Manufacturer (Section G): CONSOLIDATED MEDICAL EQUIPMENT COMPANY; ave. alejandro dumas no. 11321; complejo industrial chihuahua; chihuahua, chihuahua CP 11 36; MX CP 1136
• Manufacturer Contact: kimber boss ; 525 french road; utica, NY 13502-5994 ; 3156243441
• MDR Report Key: 6248860
• MDR Text Key: 64725914
• Report Number: 3007305485-2017-00012
• Device Sequence Number: 1
• Product Code: BYY
• UDI-Device Identifier: 00653405000467
• UDI-Public: (01)00653405000467
• Combination Product (y/n): N
• Reporter Country Code: JA
• PMA/PMN Number: EXEMPT
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: distributor,foreign
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 01/13/2017

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 01/13/2017
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: No Information
• Device Expiration Date: 11/22/2020
• Device Catalogue Number: 0036280
• Device Lot Number: 201511244
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 01/06/2017
• Is the Reporter a Health Professional?: No
• Date Manufacturer Received: 06/26/2016
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 11/24/2015
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: N
• Patient Sequence Number: 1