IDRT-TS (INTL) SINGLE 4X5 84051

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign report with the FDA on 2017-07-17 for IDRT-TS (INTL) SINGLE 4X5 84051 manufactured by Integra Lifesciences Corporation.

Event Text Entries

[80219444] Integra has completed their internal investigation on july 29, 2017. Results: evaluation of returned device; the pictures provided show that there is a fold in the skin unit. Therefore, the failure is confirmed even though the product was not returned back to cmc for failure analysis. Dhr review; idrt-ts (international) lot 105nb0344891 was not folded during the packaging process; this shows that the lot was placed into the pe sheets correctly and that there were no folds in the skin during packaging. Complaints history; there have been approximately (b)(4) idrt-ts family units sold in the past 12 months (may 2016 to may 2017). As per the trending queries, there has been only one (1) complaint identified for folded product sold (current complaint) from the skin product family. Therefore, the calculated complaint rate is (b)(4). Conclusion: the root cause of this complaint is most likely due to handling. The? Fold/bent? Most likely occurred after the packaging process. There are multiple processes after packaging that require manual handling: shipping to the sterilizer, back from sterilizer, at the distribution center, to the customer, etc. This was also confirmed as the most likely cause by the production supervisor at integra. Integra has sops in place to ensure that skin is carefully handled during processing, and operators are trained on these sops. These sops are considered sufficient for their intended purposes. With the procedures in place, it is most likely that the mishandling occurred after shipment from integra.
Patient Sequence No: 1, Text Type: N, H10


[80219445] It was reported that after the skin incision, they opened the packaging and the product was bent / folded inside the internal packaging. As only one unit was in the or, they had to use it. They used only the part which was not bent / folded by cutting it at the proper size. No patient harm and the event lead to 10 minutes surgical delay.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1121308-2017-00010
MDR Report Key6716751
Report SourceFOREIGN
Date Received2017-07-17
Date of Report2017-05-15
Date Mfgr Received2017-06-29
Date Added to Maude2017-07-17
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 SONIA IRIZARRY
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) SINGLE 4X5
Generic NameIDRT-TS
Product CodeMDD
Date Received2017-07-17
Catalog Number84051
Lot Number105NB0344891
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
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 2017-07-17

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