THIN PREP PAP 500 TSTS/CS 02500

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-04-28 for THIN PREP PAP 500 TSTS/CS 02500 manufactured by Coopersurgical, Inc..

Event Text Entries

[44667731] Coopersurgical inc. Is currently investigating the reported complaint condition. The device involved in the complaint has not been returned by the customer for evaluation. Once the investigation is completed a follow-up report will be filed. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[44667732] "end user complains that bag of spatulas has some sharp plastic around collection type that the edges that are sharp and cutting patients and causing bleeding. There are a least a few spatulas in all bags according to customer. The end user would not like replacements. They just want the spatulas to all be the same without sharp edges. " (b)(4).
Patient Sequence No: 1, Text Type: D, B5


[55159929] Coopersurgical inc. Is currently investigating the reported complaint condition. The device involved in the complaint has not been returned by the customer for evaluation. Once the investigation is completed a follow-up report will be filed. Reference e-complaint: (b)(4). Folow up investigation x-initiated manufacturer's investigation x-no sample returned x-review dhr inspect returned samples x-inspect stock product analysis and findings an evaluation of the complainant samples could not be conducted since they will not be returned. The plastic spatulas, part number 11080b, are molded at coopersurgical. The spatulas are placed into a bag with brushes and the ifu. The 20 bags are placed into a box which is shipped to the customer. A review of the dhr did not find any abnormalities. A sampling of spatulas stock inventory were taken and in some cases, flash was found at the distal end of the part. This was traced back to lot numbers 171854 and 171855 only. Non-conforming material report (ncmr) 2653 was issued to document the non-conformity. Correction and/or corrective action all stock inventory of lot numbers 171854 and 171855 were scrapped. Changed the nozzle tips in each cavity to better control the amount of material in the mold. Quality alert qa-00012 was issued and placed at the molding station and the packing station. Appropriate personnel were trained to the quality alert. Corrective action level 2 x-train personnel was the complaint confirmed? Yes review and closure x-recommended continuous improvement program (cip) capa required? Complaint closure letter required? Ncmr issued? Other regulatory action needed: *preventative action activity reviewed. Trend and monitor to cip.
Patient Sequence No: 1, Text Type: N, H10


[55159930] "end user complains that bag of spatulas has some sharp plastic around collection type that the edges that are sharp and cutting patients and causing bleeding. There are a least a few spatulas in all bags according to customer. The end user would not like replacements. They just want the spatulas to all be the same without sharp edges. " reference e-complaint number : (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1216677-2016-00007
MDR Report Key5614229
Date Received2016-04-28
Date of Report2016-07-05
Date of Event2016-02-03
Date Mfgr Received2016-02-03
Device Manufacturer Date2015-07-17
Date Added to Maude2016-04-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. NANA BANAFO
Manufacturer Street75 CORPORATE DRIVE
Manufacturer CityTRUMBULL CT 06611
Manufacturer CountryUS
Manufacturer Postal06611
Manufacturer Phone2036015200
Manufacturer G1COOPERSURGICAL, INC.
Manufacturer Street75 CORPORATE DRIVE
Manufacturer CityTRUMBULL CT 06611
Manufacturer CountryUS
Manufacturer Postal Code06611
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTHIN PREP PAP 500 TSTS/CS
Generic NameTHIN PREP PAP 500 TSTS/CS
Product CodeOHL
Date Received2016-04-28
Model Number02500
Catalog Number02500
Lot Number168875
OperatorPHYSICIAN
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerCOOPERSURGICAL, INC.
Manufacturer Address75 CORPORATE DRIVE TRUMBULL CT 06611 US 06611


Patients

Patient NumberTreatmentOutcomeDate
10 2016-04-28

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