MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-04-18 for VISTEC SPG 4X4 STR 10S 16 PLY 7317 manufactured by Augusta.
[43767446]
An investigation is currently under way. Upon completion the results will be forwarded.
Patient Sequence No: 1, Text Type: N, H10
[43767447]
It was reported to covidien on (b)(6) 2016 that the customer had an issue with a gauze sponge. The customer states the gauze is shredding when the package is opened.
Patient Sequence No: 1, Text Type: D, B5
[55278934]
Submit date: 09/21/2016. The device history record (dhr) for lot 15l062862 indicates that no issues were found in samples inspected from the lot. There were no samples submitted with this complaint. The reported condition could not be confirmed. This complaint shall be reopened if a sample is received. The exact root cause of the reported condition could not be determined without an actual sample to examine however, the lint/short fibers were possibly caused within the slitting process in which the vacuum suction was not strong enough to remove the excess fibers after the gauze was cut into slits. Prior to a lot's release, the lot must be deemed acceptable by passing inspections that are based on a valid sampling plan. Inspectors routinely examine a statistical sample both physically and visually. Specifically, visual inspection for contamination is performed during each inspection. The lot met all defined acceptance requirements and was released. A formal corrective and preventative action investigation was opened because of linting/short fibers and is currently in open investigation. This information will be utilized for trending purposes to determine the need for additional corrective actions. The production department will be notified of this incident with a copy of this complaint response.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1018120-2016-00060 |
| MDR Report Key | 5584867 |
| Date Received | 2016-04-18 |
| Date of Report | 2016-04-15 |
| Date Mfgr Received | 2016-04-15 |
| Date Added to Maude | 2016-04-18 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | EDWARD ALMEIDA |
| Manufacturer Street | 15 HAMPSHIRE STREET |
| Manufacturer City | MANSFIELD MA 02048 |
| Manufacturer Country | US |
| Manufacturer Postal | 02048 |
| Manufacturer Phone | 5084524151 |
| Manufacturer G1 | COVIDIEN |
| Manufacturer Street | 1430 MARVIN GRIFFIN ROAD |
| Manufacturer City | AUGUSTA GA 30913 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 30913 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | VISTEC SPG 4X4 STR 10S 16 PLY |
| Generic Name | GAUZE SPONGE |
| Product Code | EFQ |
| Date Received | 2016-04-18 |
| Model Number | 7317 |
| Catalog Number | 7317 |
| Lot Number | 15L3062862 |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | AUGUSTA |
| Manufacturer Address | 1430 MARVIN GRIFFIN ROAD AUGUSTA GA 30906 US 30906 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-04-18 |