FDA Adverse Event Other Summary report: N

STK SCCA 10

MDR report key: 1663782 · Received April 14, 2010

Report

Report Number
1718850-2010-00082
Event Type
Other
Date Received
April 14, 2010
Product Code
DWF
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SORIN GROUP RECEIVED A MEDWATCH REPORT THAT STATED AN EYELASH WAS SEEN INSIDE A STERILE CARDIOPLEGIA ADAPTER PACKAGE. VISUAL INSPECTION OF THE RETURNED SEAL POUCH CONFIRMED THE PRESENCE OF DEBRIS INSIDE THE PACKAGING THAT HAD THE APPEARANCE OF AN EYELASH. MFG WAS NOTIFIED OF THIS ISSUE AND PERSONNEL HAVE REVIEWED THE PROCEDURES FOR THE FREQUENCY OF SURFACE CLEANING, RAW MATERIAL MOVEMENT AND PROTECTION, AND PROPER HAIR COVERING TECHNIQUES. A NEW VACUUMING SYSTEM SPECIFICALLY MANUFACTURED FOR CONTROLLED CLEAN ROOM ENVIRONMENTS, HAS BEEN TESTED AND ACCEPTED FOR USE IN THE PRODUCTION AREA, TO MINIMIZE THE OCCURRENCE OF PRODUCT DEBRIS.

Description of Event or Problem · 1

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Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STK SCCA 10 STOCK SORIN CORONARY CARDIOPLEGIA ADAPTER (SCCA) DWF

Patients

Seq Age Sex Outcome Treatment
1