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Medical device incident reports 01/04/2007 - 30/06/2007

Number received: 280

Total number of investigations completed: 238

Cause of problem1
Component failure 21
Contamination 1
Design 11
Electrical 16
Inadequate Instructions 3
Labelling 2
Maintenance 2
Manufacture 18
Material/Formulation Deficiency 12
Mechanical 20
Not Device Related 23
Other 25
Packaging/Sterility 2
Quality Assurance 6
Unknown 77
Wear/Deterioration 9
Effect
Death 9
Serious Injury 55
Temporary Injury 64
No Injury 110
Source category
Medical Administrator 4
Specialist 13
Nurse 8
Blood Bank 1
Hospital Supply Service 16
Other 2
Biomed Engineer 10
Para Medical 1
Patient/User 22
Coroner 1
Sponsor 181
Overseas 2
Dentist 1
Result of investigation
Bulletin article 2
Company warned 1
Compliance testing 1
No Further Action 43
Not Investigated2 152
Other 7
Problem Not Confirmed 12
Product Improvement 13
Recall/Hazard Alert 7
Safety Alert 6
User Education 3

Notes

  1. The problem causes are not mutually exclusive. For example, a material deficiency may have led to a mechanical malfunction or a biocompatibility problem.
  2. Every report received by IRIS receives a risk analysis by the Scheme Coordinator and is discussed by a panel of technical and clinical professionals. In the case of reports that are "Not Investigated" the panel has made a decision that further investigation of the particular event is not necessary at that time. However, these reports are logged into the database for future reference and the trend of reports is monitored. In making their decision, the panel considers whether any similar reports have been received previously.

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