MAUDE Adverse Event Report: CORDIS CORPORATION GC 9F .098 STR 55CM; CATHETER, PERCUTANEOUS

Model Number 598943P

Device Problems Device Contamination with Chemical or Other Material (2944); Manufacturing, Packaging or Shipping Problem (2975)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Date 09/16/2020

Event Type  malfunction  

Manufacturer Narrative

A review of the manufacturing documentation associated with lot 17850141 presented no issues during the manufacturing process that can be related to the reported event.Additional information is pending and will be submitted within 30 days upon receipt.This device is available for analysis, but the engineering report is not yet available.However, it will be submitted within 30 days upon receipt.

Event Description

As reported, particles (suspect tiny cardboard fragments) were found inside sterile pouch of 9f.098 straight (str) 55cm vista brite tip guiding catheters.Sixteen (16) boxes were affected.These recent units (16 in total) were not involved in any procedure.They were discovered during inspection at the warehouse level.They were not even opened.There was no reported patient injury.Pictures have been attached for review.The devices will be returned for analysis.

Manufacturer Narrative

After further review of additional information received.This device is available for analysis, but the engineering report is not yet available.However, it will be submitted within 30 days upon receipt.This report is related to the following reports: 9616099-2020-03962.9616099-2020-03963.9616099-2020-03964.9616099-2020-03965.9616099-2020-03966.9616099-2020-03967.9616099-2020-03968.9616099-2020-03969.9616099-2020-03971.9616099-2020-03973.9616099-2020-03974.9616099-2020-03975.9616099-2020-03976.9616099-2020-03977.9616099-2020-03978.

Manufacturer Narrative

After further review of additional information received the following sections have been updated accordingly: g4, g7, h1, h2, h3, h6 this report is related to the following reports: 9616099-2020-03962, 9616099-2020-03963, 9616099-2020-03964, 9616099-2020-03965, 9616099-2020-03966, 9616099-2020-03967, 9616099-2020-03968, 9616099-2020-03969, 9616099-2020-03971, 9616099-2020-03973, 9616099-2020-03974, 9616099-2020-03975, 9616099-2020-03976, 9616099-2020-03977, 9616099-2020-03978, as reported, particles (suspect tiny cardboard fragments) were found inside sterile pouch of 9f.098 straight (str) 55cm vista brite tip (vbt) guiding catheters.Sixteen (16) boxes were affected.These recent units (16 in total) were not involved in any procedure.They were discovered during inspection at the warehouse level.They were not even opened.There was no reported patient injury.Three pictures were initially received for analysis and later sixteen devices were received for analysis.Per picture analysis, the complaint could not be properly evaluated at the time due to the product was not received to proceed with a complete evaluation.Recently, sixteen sterile vbt guide catheters (gc 9f.098 str 55cm) with the outer boxes and inner pouch packaging were received for analysis.Per visual analysis of the received units, the sterility of the pouches was confirmed.The units were received perfectly sealed.However, stains were observed on the mounting cards inside the sealed pouches of the 16 units.Per pet analysis, it was concluded that the contamination detected in the mounting card is not confirmed.Per our procedures, up to three no larger than 0.050¿ inclusions/stains per card are allowed.The number of stains does not exceed three (3), and the stains identified do not measure above 0.050.¿ the units were randomly numbered/ identified from unit one to unit sixteen to perform the analysis.2020-00127334-10 per visual analysis, two observed stains were measured, one <.020" and one <.050" which is considered acceptable per the procedure.A product history record (phr) review of lot 17850141 revealed no anomalies or non-conformances during the manufacturing and inspection processes that can be associated with the reported event.The complaint reported by the customer as ¿packaging/pouch/box-foreign material - in sterile package¿ was confirmed for all sixteen devices due to the stains observed on the received units.However, per investigation results and after measuring the stains, it was concluded that the units were acceptable according to the procedure.According to the safety information in the instructions for use ¿inspect the guiding catheter before use to verify that its size, shape and condition are suitable for the specific procedure.¿ ¿warning: do not use a guiding catheter that has been damaged in any way.If damage is detected, replace with an undamaged guiding catheter.¿ users are trained to inspect for signs of damage prior to and during use.Any product with damage or sterility concerns is not to be used, as was done in this case.Therefore, the potential for patient injury/death occurring as a result of the observed stains is remote.Neither the phr review nor the product analyses suggest that the event could be related to the manufacturing process of the units.Therefore, no corrective or preventive actions will be taken at this time.

• Brand Name: GC 9F .098 STR 55CM
• Type of Device: CATHETER, PERCUTANEOUS
• Manufacturer (Section D): CORDIS CORPORATION; 14201 nw 60 avenue; miami lakes FL 33014
• MDR Report Key: 10671104
• MDR Text Key: 211526350
• Report Number: 9616099-2020-03972
• Device Sequence Number: 1
• Product Code: DQY
• UDI-Device Identifier: 20705032019092
• UDI-Public: 20705032019092
• Combination Product (y/n): N
• PMA/PMN Number: K925131
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,foreig
• Type of Report: Initial,Followup,Followup
• Report Date: 12/01/2020

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/13/2020
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 02/28/2022
• Device Model Number: 598943P
• Device Catalogue Number: 598943P
• Device Lot Number: 17850141
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 10/23/2020
• Date Manufacturer Received: 11/20/2020
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1