FDA Adverse Event Injury Summary report: N

LOFRIC SENSE

MDR report key: 7132814 · Received December 20, 2017

Report

Report Number
3009632672-2017-00007
Event Type
Injury
Date Received
December 20, 2017
Report Date
November 23, 2017
Manufacturer
WELLSPECT HEALTHCARE, A DIVISION OF DENTSPLY IH AB
Product Code
EZD
UDI-DI
07392532086366
PMA / PMN Number
K123751
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE EXAMINATION OF THE SIX RETURNED CATHETERS SHOWED THAT THE CATHETERS GOT STUCK TO THE PACKAGING. THE USER IS CONCERNED THAT THE DEVICE IS LINKED WITH AN INFECTION. THE MANUFACTURER HAS NOT BEEN ABLE TO ESTABLISH ANY RELATION BETWEEN THE DEVICE AND THE REPORTED HARM (INFECTION), BUT IT COULD NOT BE EXCLUDED THAT THERE IS A RELATIONSHIP BETWEEN THE DEVICE AND THE INFECTION. IT IS UNKNOWN WHETHER THE USER USED THE CATHETER OR NOT. THE MANUFACTURER HAS MADE UNSUCCESSFUL ATTEMPTS TO RECEIVE MORE INFORMATION REGARDING THIS INCIDENT AND THE SEVERITY OF INFECTION, BUT THE USER DOES NOT WANT TO PROVIDE ANY ADDITIONAL INFORMATION. NO ACTIONS ARE CONSIDERED TO BE REQUIRED. THIS TYPE OF DEFICIENCY IS CONSIDERED TO BE EASY TO DETECT PRIOR TO USE OF THE DEVICE. STERILIZATION DOSE HAS BEEN SUBSTANTIATED BY DOSE AUDITING STUDIES AND BIOBURDEN LEVELS ARE ROUTINELY MONITORED AND HAVE BEEN WITHIN SPECIFICATION. SHOULD ADDITIONAL INFORMATION BE RECEIVED, A FOLLOW-UP REPORT WILL BE FILED.

Description of Event or Problem · 1

ACCORDING TO THE REPORTER, THE CATHETER WAS STUCK TO THE FOIL IN THE PACKAGE AND UPON REMOVAL FROM THE PACKAGE, THE FOIL WAS PHYSICALLY REMOVED. THE USER IS CONCERNED THAT THIS COULD BE LINKED WITH AN INFECTION, BUT DOES NOT WANT TO PROVIDE ANY FURTHER INFORMATION REGARDING THIS INCIDENT. IT IS NOT KNOWN WHETHER THE USE USED THE CATHETER OR NOT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
913542 LOFRIC SENSE CATHETER, STRAIGHT EZD WELLSPECT HEALTHCARE, A DIVISION OF DENTSPLY IH AB 41612 406116 07392532086366

Patients

Seq Age Sex Outcome Treatment
1 Other