IDRT - TS INTL 1PK 4X10 84101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-21 for IDRT - TS INTL 1PK 4X10 84101 manufactured by Integra Lifesciences Corporation.

Event Text Entries

[41183283] It was reported the parcel delivered was okay but inside the parcel the packaging of the device was wet. The customer was concerned of a leakage issue. The issue was discovered at the receipt and delivered for consignment stock. There was no patient impact.
Patient Sequence No: 1, Text Type: D, B5


[46521328] Integra has completed their internal investigation on 4may2016. The additional investigation activities included: methods: evaluation of actual device. Review of device history records. Review of complaint history. Results: based on the dhr review conducted, there were no abnormalities within the batch record and there is no indication that the production process may have contributed to this complaint. A query of the complaint database for the timeframe of 0mar2015? 04mar2016 was performed for ce marked wound care products, including idrt-ts, and for lot 105na0336568. There were no additional complaints received for this issue or for the subject lot other than the one described within this report. There were approximately (b)(4) ce marked wound care devices sold in the past 12 months before this complaint. As per the trending query, there has been one (1) complaint identified for leaking or moisture issues. Therefore, the calculated complaint rate is (b)(4). Conclusion - each unit of idrt-ts is sealed in a foil pouch with phosphate buffered saline, then sealed in a tyvek pouch. The filled tyvek pouch is then sent out for sterilization. While the outside of the tyvek pouch is not sterile due to further packaging, the inside of the tyvek pouch remains sterile. The tyvek pouch is then packaged in a trifold box with the ifu and shipped to the distribution center. An uncontrolled environment and changing temperatures during shipping could create condensation within the packaging. Additionally, if the package was exposed to rain then it is possible that the outer boxing dried while the inner packaging remained damp. (b)(4) wiped the trifold box for decontamination purposes; the chemical used during this process seems to have altered the coloring and finish of the box. If there was damage due to water or leaking to the outside of the trifold then any evidence has been compromised with the wipe down. However, there is no indication of moisture or damage to the inside of the trifold. Additionally, as stated in the failure analysis, there is no indication that there is a breach of sterility or that the inner foil pouch or tyvek pouch were subject to a leak. Therefore, at this time the most likely cause of the moisture seen by the customer is due to an uncontrolled environment during shipping.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1121308-2016-00006
MDR Report Key5514594
Date Received2016-03-21
Date of Report2016-03-04
Date Mfgr Received2016-05-04
Device Manufacturer Date2015-08-01
Date Added to Maude2016-03-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactUSER MARIA LEONARD
Manufacturer Street311 ENTERPRISE DRIVE
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal08536
Manufacturer Phone6099362393
Manufacturer G1INTEGRA LIFESCIENCES CORPORATION
Manufacturer Street105 MORGAN LANE
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal Code08536
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIDRT - TS INTL 1PK 4X10
Generic NameINTEGRA
Product CodeMDD
Date Received2016-03-21
Returned To Mfg2016-04-15
Catalog Number84101
Lot Number105NA0336568
Device Expiration Date2017-08-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA LIFESCIENCES CORPORATION
Manufacturer Address105 MORGAN LANE 105 MORGAN LANE PLAINSBORO NJ 08536 US 08536


Patients

Patient NumberTreatmentOutcomeDate
10 2016-03-21

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