MAUDE Adverse Event Report: CONMED CORPORATION 1/4 INCH X 10 FEET SUCTION TUBING

Catalog Number	0036290
Medical Device Problem Code	Unsealed Device Packaging (1444)
Health Effect - Clinical Code	Not Applicable (3189)
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Conmed corporation received one (1) "unopened" package containing the 1/4" x 10' suction tubing.The package was evaluated in the quality packaging lab on 20-mar-2017.Visual examination of the sample found an open pouch with no adhesive transfer.There was no adhesive transfer on the actual device, therefore, the device was not in the actual seal area.The device was in the area of the seal close enough to affect the ability of the machine to create a seal.The open seal resulted in a breach of sterility.This complaint for "insufficient heatseal" is confirmed.This lot was manufactured on 27-jan-2016.A review of the manufacturing documents from the dhr/lhr has verified the devices were produced according to current and approved procedures and material specifications.Non-conformances regarding the product's identity, quality, safety, effectiveness or performance were not identified during manufacture.Of the lot containing (b)(4) units, there are no other similar complaints received.A two (2) year review of product history for this device showed a total of (b)(4) complaints, involving (b)(4) devices ((b)(4) confirmed or pending evaluation), including this complaint.(b)(4).The reported packaging anomaly was obvious to the distributor and therefore prompted the return of the device for evaluation and replacement.This failure mode is addressed in the risk documents.To date, there have been no serious injuries or death related to this reported problem.Nonetheless, to prevent future recurrences, an investigation has been initiated to address this issue.As with all medical devices, examination of packaging occurs multiple times prior to use (shipping/receiving, distribution, storage and prior to use).In addition, good clinical practice would include examination and verification of the product and its original packaging to ensure both are intact.If the product and its packaging have been opened/damaged or altered, do not use the product and contact the manufacturer immediately.
Event or Problem Description
The distributor in (b)(4) reported that during receiving and inspection of incoming products, one (1) package containing 1/4" x 10' suction tubing was discovered with "insufficient heat seal." in this instance, there was no patient involvement with this reported problem, as the packaging anomaly was discovered during inspection at the distributor facility prior to distribution to an end-user.This report is being filed based on the potential for injury with recurrence.

• Brand Name: 1/4 INCH X 10 FEET SUCTION TUBING
• Common Device Name: SUCTION TUBING
• Manufacturer (Section D): CONMED CORPORATION; 525 french road; utica NY 13502 5994
• MDR Report Key: 6446205
• Report Number: 3007305485-2017-00082
• Device Sequence Number: 16404497
• Product Code: BYY
• UDI-Device Identifier: 00653405000474
• UDI-Public: (01)00653405000474
• Combination Product (Y/N): N
• Initial Reporter Country: JA
• PMA/510(K) Number: P/A EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: distributor,foreign
• Initial Reporter Occupation: Other
• Remedial Action: Other
• Type of Report: Initial
• Report Date (Section B): 03/30/2017

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: No Information
• Device Expiration Date: 01/25/2021
• Device Catalogue Number: 0036290
• Device Lot Number: 201601275
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 03/13/2017
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 03/20/2017
• Initial Report FDA Received Date: 03/30/2017
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1