Two months ago we noted on our 3m steam chemical integrator (ci) strips where the extender was not attached to glue section & glue could stick to our surgical instruments.3m was involved straight away with their response to the issue and we have a letter of involvement since we informed them two months ago.Now after two months (from the first observation of this issue) we have seen more issues arising from the ci ref# 1243r (the cis we typically get has the extender).But in these cis, we see that the extender is not attached to the glue section.The glue could stick to our surgical instruments inside the tray, which could be a patient safety issue.The other two indicators are, issues with the move forward bead, again.The middle one has no white sheet and only the metal backing, with the bead exposed as well and not seated correctly.In the bottom device, a piece of the white sheet is not seated properly and we see that the piece is sticking behind the window.Without the white sheet, one will not be able to see the bead move into the acceptance range.In this month, they (cis) are all from the same lot #ta032024.This lot is what we have stocked on our workstations and in our warehouse inventory.We have directed our staff to check each ci prior to placing them in the sets and verify the bead is present, the white strip is present, the glue is not exposed and the bead is seated in the correct position.Note: our warehouse in supply chain has removed the current lot (ta032024) from the shelf.No patient harms.Our sterile processing manager continues to be in communication with 3m.Manufacturer response for steam chemical integrator, 3m steam chemical integrator (per site reporter).3m has been working with our sterile processing department from the onset and we have a letter of involvement.In this month we saw another recurrence and have been in contact again with 3m.
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