Model Number 50-4016E1 |
Device Problems
Defective Component (2292); Manufacturing, Packaging or Shipping Problem (2975)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 09/27/2019 |
Event Type
malfunction
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Manufacturer Narrative
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A field action was initiated on (b)(6) 2019 (product recall notice was sent to all potentially impacted customers).The sample is reported to be available, but has not yet been received by the manufacturer.All information reasonably known as of (b)(6) 2019 has been included in this health authority report.Should additional information be obtained, a follow-up health authority report will be provided.The information provided by avanos medical inc.Represents all of the known information at this time.Avanos medical inc.Has no independent knowledge of the event reported but is relaying the information that was provided by the user facility where the incident occurred.This product incident is documented in the avanos medical complaint database and identified as complaint (b)(4).Device not returned.
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Event Description
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Avanos medical inc.Received a single report that referenced three different incidences, which were associated with separate units, involving the same patient.This is the second of three reports.Refer to 3006646024-2019-00024 for the first report.Refer to 3006646024-2019-00026 for the third report.It was reported that the hospital has had problems with the placement kits where there was a blockage or the tip of the dilator seemed too narrow for the guidewire.Three kits failed consecutively during a procedure and resulted in a peri-procedural delay due to low stock.No further information provided.
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Manufacturer Narrative
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One used sample was returned for evaluation.There was a jagged breaking between the two bonded components.The previously bonding components were inspected and the bond were still intact and secured even if a breaking had occurred.The area where the two bonded components were inspected.The distal side had an opening as expected.The proximal side exhibited clogging with no openings noticed.The complaint is confirmed and the root cause is determined to be manufacturing related.All information reasonably known as of 13 dec 2019 has been included in this health authority report.Should additional information be obtained, a follow-up health authority report will be provided.The information provided by avanos medical inc.Represents all of the known information at this time.Avanos medical inc.Has no independent knowledge of the event reported but is relaying the information that was provided by the user facility where the incident occurred.This product incident is documented in the avanos medical complaint database and identified as complaint (b)(4).This information is submitted pursuant to 21cfr803, in compliance with the medical device reporting requirement and should not be considered to be an admission that an avanos medical inc.Product is defective or caused serious injury.
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Search Alerts/Recalls
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