FDA Adverse Event Malfunction Summary report: N

STERRAD 100S STERILIZER

MDR report key: 1060771 · Received June 12, 2008

Report

Report Number
2084725-2008-00274
Event Type
Malfunction
Date Received
June 12, 2008
Date of Event
May 22, 2008
Report Date
May 22, 2008
Manufacturer
ADVANCED STERILIZATION PRODUCTS
Product Code
MLR
PMA / PMN Number
K991999
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CAPITAL EQUIPMENT, EVALUATED AT CUSTOMER SITE. THE FSE ASSESSED THE UNIT AND FOUND IT OPERATING TO MANUFACTURER SPECS.

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT ONE OF THE HEALTHCARE WORKERS EXPERIENCED "BURN" WITHOUT PAIN ON THEIR PALM. THE BURNED AREA WAS REPORTED TO BE DISCOLORED ("SLIGHTLY WHITE"). IT WAS REPORTED THAT THE INCIDENT OCCURRED WHILE THE HEALTHCARE WORKER WAS UNLOADING THE PROCESSED DEVICES. ONE OF THE DEVICES HAD DROPLETS AND THE HEALTHCARE WORKER FELT PAIN WHEN HE/SHE TOUCHED THE DROPLETS. THE HEALTHCARE WORKER DID NOT SEEK MEDICAL ATTENTION AND TREATMENT. THE SERVICE ENGINEER WENT TO THE FACILITY TO ASSESS THE UNIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STERRAD 100S STERILIZER STERRAD EQUIPMENT (MLR) MLR ADVANCED STERILIZATION PRODUCTS NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNK