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Investigation summary: introduction: material #: 442021, lot/batch/serial #: (b)(6).Customer claim: it was reported that bactec blood bottle was dropped on floor and burst open from the capped lid.A photo of the damaged cap was received as part of the complaint documentation.Device/batch history review: batch history record review did not identify any evidence for which the customer submitted the complaint.Investigational testing/ review: satisfactory results were obtained from retention samples when visually inspected.A technical assessment was performed by the engineering department to determine whether the optima capper line and cap vision system experienced any mechanical issues or breakdowns related to damaged caps or cap defects during the manufacturing process of the aforementioned batch.Upon evaluation of breakdown and incident reports, no issues were identified with the capper or cap vision system machines on the relevant date.The investigation also, confirmed that preventive maintenance for both pieces of equipment was completed on time, as scheduled.Production reports were reviewed and indicated occasional caps chute cylinder not working properly.When this situation occurred, bottles were removed, and machine timing was adjusted accordingly.These types of events are fixed during the manufacturing process.No further actions were taken related to this event.This event should be considered as an isolated event.Product insert warnings and precautions sections states that prior to use, each vial should be examined for evidence of contamination such as cloudiness, bulging or depresses septum, or leakage.Vials showing evidence of contamination should not be used.Also, prior to use, the user should examine the vial for evidence of damage or deterioration.Vials displaying turbidity, contamination, or discoloration (darkening) should not be used.Complaint history review: a complaint history review was conducted and only the current complaint was found relating to the incident lot number and the ¿as reported¿ defect code.Conclusion/outcome: complaint is confirmed based photo provide by the customer.It is important to highlight that although the complaint was generated for catalog 442021, the cap in the photos does not correspond to a lytic/f cap.Lytic/f caps are violet, and the photo shows a blue plus aerobic/f cap instead.No corrective actions were required.Complaints received for this device and reported condition will continue to be tracked and trended.Information will be captured on trend reports and monitored.
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