Investigation ¿ evaluation a visual inspection of the returned device was conducted.A document based investigation was also performed including a review of complaint history, the device history record, drawings, instructions for use, quality control data, and trends.One unopened package was returned for investigation.The returned packaging confirms lot number 9060688.The visual exam of the returned device noted black particles on the balloon material, possibly black ink.A review of the device history records for lot 9060688 records found there were no non-conformances.A review of complaint history records revealed this complaint to be the only one associated with complaint lot number 9060688.The complaint was confirmed based on investigation of the returned device.The cause for this failure mode is a manufacturing issue.Appropriate manufacturing personnel have been informed of this event and completed retraining to prevent similar device failure in the future.This report is required by the fda under 21 cfr part 803.This report is based on unconfirmed information submitted by others.Neither the submission of this report nor any statement made in it is intended to be an admission that any cook device is defective or malfunctioned; that a death or serious injury occurred; or that any cook device caused or contributed to; or is likely to cause or contribute to a death or serious injury if a malfunction occurred.
|