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Recall Observatory FDA recall evidence

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

January 11, 2021

Class II

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

    reason.manufacturing_process_control · v1.0.0

    manufacturing error
  • Sterility assurance

    reason.sterility_assurance · v1.0.0

    breach in the sterile barrier