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As reported, the body of a 5f tempo angiographic catheters was peeling off, appearing as though it was decomposing.There was no reported patient injury.It was further reported that additional devices from the same lots and skus exhibited similar peeling, with approximately nineteen devices affected.It was confirmed that the remaining devices were sterile and exhibited the same failure.Devices are stored in the warehouse along with other medical devices.Ozone is not used to disinfect, and it is not used in any areas such as procedure or storage rooms.Four images were provided, showing blue flakes on a blood-soaked surgical towel, cracks on the catheter body and strain relief, and yellowish discoloration to the hub.The devices will be returned for evaluation.
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As reported, the body of 5f tempo angiographic catheters was peeling off, appearing as though it was decomposing.It was further reported that additional devices from the same lots and skus exhibited similar peeling, with approximately nineteen devices affected.It was confirmed that the remaining devices were sterile and exhibited the same failure.Devices are stored in the warehouse along with other medical devices.Ozone is not used to disinfect, and it is not used in any areas such as procedure or storage rooms.The sterile device, cath tempo 5f mp ai 65cm, was received for analysis in its original sealed pouch and placed within a plastic bag prior to evaluation.The device was unpacked and subjected to visual inspection, during which the strain relief was observed to be partially pulverized and severely cracked, with portions still adhered to the catheter, and loose pulverized fragments present inside the pouch.A partial yellowish discoloration was also noted on the catheter.No other anomalies were identified during the visual inspection.A microscopic examination was subsequently performed on the strain relief, catheter body, and tether hub to further evaluate the observed conditions and assess the partial discoloration.Microscopic review confirmed severe cracking and partial pulverization of the strain relief, extensive cracking along the length of the catheter body, and the presence of partial discoloration on the hub, which correlated with the visual findings.No additional anomalies were identified during microscopic examination.Based on the visual and microscopic evaluations, the unit exhibited degradation characteristics affecting the strain relief and catheter body, and no other issues were identified during the product evaluation.The reported ¿catheter (body/shaft) ¿ degradation¿ and ¿strain relief ¿ degradation¿ was observed during the product evaluation.Based on the available information, the specific cause of the degradation could not be determined.Potential contributing factors include storage or handling conditions within the reporting facility or factors associated with the manufacturing process of the unit.Users are trained to inspect products for signs of damage prior to and during use, and any product showing damage is not to be used.The product labeling includes information for safety intended to make users aware of such risks.According to the instructions for use (ifu), ¿store in a cool, dark, dry place.Do not use if package is open or damaged.Do not expose to organic solvents.¿ while this guidance mitigates risks associated with storage and handling, it does not eliminate the potential for degradation.Because a potential link to the manufacturing process could not be excluded, an investigation has been initiated to further evaluate potential contributing factors and implement further actions as appropriate.No additional actions will be taken at this time.
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