INPLANT FUNNEL IN-001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-15 for INPLANT FUNNEL IN-001 manufactured by Proximate Concepts Llc.

Event Text Entries

[175832484] Situation: a clean, non-sterile funnel labeled non-sterile training device, not for human use was received and used to introduce a breast implant into a patient. It failed/unzipped and was set aside after use on one side. The implant was placed in antibiotic solution, the site re-prepped and gowns and glovers were changed. Background: this product is an alternative for the keller funnel which is not available at this time. Staff here received an email with an email with an instructional inplant video. It is practice to inform staff when an alternative product is in the supply stream. Because of the funnel shortage, and to avoid waste associated with introducing funnels to the field when a case is set up, funnels are accessed and taken to the operating room just in time/ prior to use. Demo units are never received w/shipments. Assessment: the funnel was packaged in a peel pack and shipped with sterile funnels. The funnel had a warming printed on it, the peel pack did not. The usual barcode, lot # and expiration date were not on the peel pack. Inplant reported they send 6 sterile funnels per box, and a clean demo funnel outside of the box w/ the sterile funnels. Our purchase orders says 07/18 shipped, with hand written 8? On the packing slip. At this point of investigation, confirmation bias is why this was introduced for use on the patient, along w/just in time use, awareness of shortage, peel pack looked like it might have been a reprocessed item to the users. Recommendation: i have been in contact w/inplant. The other site in my company who uses this product was alerted. I have been in contact with the rep who provided me with inplant contact information. The implants were placed without funnels. The patient today, 01/13, the inplant team confirmed the funnel was clean, not sterile. It was labeled with warning- non sterile. They stated they routinely send a demo unit with orders and the packing slip includes notation of this, however i do not find a statement about including a demo unit in the shipment on the packing slip. We never expect to get a demonstration product with shipment of product for patient use. I also made contact with the rep who provided contact information for inplant to me. Fda safety report id # (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092272
MDR Report Key9595953
Date Received2020-01-15
Date of Report2020-01-13
Date of Event2020-01-06
Date Added to Maude2020-01-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameINPLANT FUNNEL
Generic NameKIT, SURGICAL INSTRUMENT, DISPOSABLE
Product CodeKDD
Date Received2020-01-15
Model NumberIN-001
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerPROXIMATE CONCEPTS LLC
Manufacturer AddressFORT LEE


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-15

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