PROGUIDE SHARP NEEDLE 5FX 240MM 189640-00

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-09 for PROGUIDE SHARP NEEDLE 5FX 240MM 189640-00 manufactured by Nucletron B. V. / Elekta Inc..

Event Text Entries

[144946610] A supply tech noticed that the indicator strips on two single use device sku's had not changed to the color indicated on package. The supplies are from nucletron and are as follows: proguide sharp needle 5fx 240mm ref 189640-00, all lot numbers in our facility, and smit sleeve, 60mm ref 189761-00, all lot numbers in our facility. Some smit sleeve packages show the indicator should be blue and some show it should be pink. The indicator that should be blue is orange, and the indicator that should be pink is blue and grey striped. The proguide needle indicator shows it should be pink and it is pink and blue striped. I reached out to the product mfr (nucletron/elekta) and they responded that the items were sterile and to ignore the marker as it was not designed for eto, and the products are sterilized using eto. I wanted to be sure the packaging was compatible with eto and also that the items really were sterile since the sterilization indicator on the package had not turned. After many calls and emails over the course of a few days to the package mfr (steriking) and to the mfr of the product, the following was determined: the packaging (steriking ltr41) is validated for eto sterilization, but the indicator strip on the package is not. The indicator strip is validated for use with vaporized hydrogen peroxide. Nucletron/elekta guarantees the items are sterile. My concern is to ask that healthcare professionals disregard sterilizer indicators that have not turned appropriately. This is not good practice and can lead to mistakenly ignoring an indicator on a package that should not have been ignored. Operating room techs are trained to check indicators and reject items if packaging indicators have not turned.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5086530
MDR Report Key8600007
Date Received2019-05-09
Date of Report2019-04-30
Date of Event2019-04-22
Date Added to Maude2019-05-10
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NamePROGUIDE SHARP NEEDLE 5FX 240MM
Generic NameSYSTEM, APPLICATOR, RADIONUCLIDE, REMOTE-CONTROLLED
Product CodeJAQ
Date Received2019-05-09
Model Number189640-00
Lot Number60569755
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerNUCLETRON B. V. / ELEKTA INC.

Device Sequence Number: 2

Brand NameSMIT SLEEVE, 60MM
Generic NameSYSTEM, APPLICATOR, RADIONUCLIDE, REMOTE-CONTROLLED
Product CodeJAQ
Date Received2019-05-09
Model Number189761-00
Lot Number170729 (MULTIPLE)
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerNUCLETRON B. V. / ELEKTA INC.


Patients

Patient NumberTreatmentOutcomeDate
10 2019-05-09

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.