(b)(4).Investigation result: a visual examination of the returned complaint device revealed that the gauge needle indicated 5 atm.It was noted that the print quality was found clear, legible, and complete.Also, the "y" connector was returned straight and aligned with the syringe.Microscopic inspection was done and found the thread of the female luer had no damages.As there was no issue with the visual and functional test during product analysis, the complaint incident cannot be confirmed.Regarding the gauge issue, it is possible the balloon burst during the procedure and the gauge resultingly was unable to zero itself, resulting in the found gauge issue.However, regarding the reported event of the luer breaking, taking into consideration the evaluation conducted and the details of the complaint, the most probable root cause of the reported event cannot be detected.A review of the device history record (dhr) was performed and confirmed that this device met all material, assembly and performance specifications.A labeling review was performed and from the information available, this device was used per the instructions for use (ifu)/product label.
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