MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-04-26 for VISTEC SPG 3.5X4 NON ST 10S32 PLY 4334 manufactured by Covidien.
[44361477]
Submit date: 04/26/2016. An investigation is currently under way. Upon completion, the results will be forwarded.
Patient Sequence No: 1, Text Type: N, H10
[44361478]
It was reported to covidien on (b)(6) 2016 that the customer had an issue with a gauze sponge. Customer reports of receiving 8 gauze, 4x3. 5 32ply 10's xr instead of the specified 10.
Patient Sequence No: 1, Text Type: D, B5
[55606264]
The device history record (dhr) for lot 15k038062 indicates that there were no defects found in (b)(4) samples per machine inspected from the lot. There were no samples submitted with this complaint. The reported condition could not be confirmed. The complaint shall be reopened if a sample is received. A possible root cause may be attributed to the scale challenge for weight count if it was not set up correctly on autobanders, added variables could have contributed to a weight discrepancy for the scale on the autobanders. Product originates from the manufacturing facility and then goes to another source to be used such as a kit packing facility. It is also possible that sponges could have been lost during that process. 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. Counts are performed as part of the inspection criteria for in process. This evaluation is performed at a tightened sample size for miscounts. The lot met all defined acceptance requirements and was released. A formal corrective and preventative action (capa) was initiated to address the miscount complaints for vistec products. During this capa, the off line banding equipment was discontinued. A reversal of the autobander trays was performed to tighten the bands. An additional capa has been opened to optimize the autobander process in which the product specification has been updated to include this complaint type and identify the occurrence. A rotation of stacked sponges will be removed from the process and validation activities will be performed. This capa is currently in the implementation stage. 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. Finished goods testing is currently being performed at a heighten level for products packaged using banded (b)(4) units for miscount. This heightened testing is performed to ensure containment for the reported condition.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1018120-2016-00067 |
| MDR Report Key | 5607965 |
| Date Received | 2016-04-26 |
| Date of Report | 2016-04-25 |
| Date Mfgr Received | 2016-09-16 |
| Date Added to Maude | 2016-04-26 |
| 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 3.5X4 NON ST 10S32 PLY |
| Generic Name | GAUZE SPONGE |
| Product Code | EFQ |
| Date Received | 2016-04-26 |
| Model Number | 4334 |
| Catalog Number | 4334 |
| Lot Number | 15K038062 |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | COVIDIEN |
| Manufacturer Address | 1430 MARVIN GRIFFIN ROAD AUGUSTA GA 30906 US 30906 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2016-04-26 |