Device product
Slush + Warmer Disc Drape; Model ORS-320 Slush + Warmer Disc Drapes - Product Usage: single-use equipment cover intended for use during various surgeries where warm irrigation, slush and/or cold solution is required.
Z-1141-2021
Product summary
- Firm
- Ecolab Inc
- Event
- Event 87173
- Status
- Terminated
- Classification
- Class II
- Quantity
- 132 cases (3168 drapes)
- Official record key
device-enforcement:Z-1141-2021
Official wording
Reason: Slits were identified in a low quantity of ORS-320 Slush + Warmer Disc Drapes from a single lot. A source for potential manufacturing error was identified and investigation is underway to prevent further recurrence. The slits may lead to a breach in the sterile barrier between fluid in the basin and the slush/warming equipment. This could pose a risk of infection to patients receiving warmed irrigation fluid or surgical slush if used during a procedure.
Code information: Model ORS-320, lot D192619A, 132 cases (3168 drapes)
Distribution pattern: Worldwide distribution - US Nationwide Distribution in the states of AL, AZ, CA, CO, FL, HI, ID, IL, IN, KS, LA, MA, MD, MI, MO, MT, NJ, NY, OH, OK, OR, PA, TN, TX, UT, WA. In the country of Japan.
Derived failure modes
-
Manufacturing or process control
manufacturing error
-
Sterility assurance
breach in the sterile barrier