FDA Adverse Event Malfunction Summary report: N

TROPHON EPR

MDR report key: 11965142 · Received June 9, 2021

Report

Report Number
11965142
Event Type
Malfunction
Date Received
June 9, 2021
Date of Event
April 30, 2021
Report Date
May 26, 2021
Manufacturer
NANOSONICS LIMITED
Product Code
OUJ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

CLINICAL ENGINEERING HAS RECEIVED FOUR RECENT EVENTS WHERE THE TROPHON EPR HAS FAILED AND LEAKED THE CHEMICAL DISINFECTANT BOTH INSIDE AND OUTSIDE THE UNIT. OBSERVATION INDICATES THAT THE BOTTOM OF THE PLASTIC RESERVOIR IS BREAKING WHERE THE HOSE CONNECTS. MANUFACTURER INITIALLY TOLD USER THAT EQUIPMENT NEEDS PREVENTIVE MAINTENANCE AT 5000 CYCLES. WHEN THESE NEW ISSUES WERE REPORTED TO THE MANUFACTURER, HOSPITAL WAS TOLD THAT THE DEVICES NEED TO BE SENT IN ANNUALLY. ONE OF THE FOUR UNITS WAS SENT IN FOR A DIFFERENT ISSUE, THE MANUFACTURER DISCOVERED THE RESERVOIR WAS LEAKING. DEVICE: INCOMING/INTO SERVICE DATE: (B)(6) 2016, MODEL: N00010, S/N# (B)(4), CHEMICAL LEAKING INSIDE UNIT. (DATE OF INCIDENT (B)(6) 2021). DEVICE: INCOMING/INTO SERVICE DATE: (B)(6) 2016, MODEL: N00010, S/N# (B)(4), UNIT WAS SENT IN FOR DOOR REPAIR, NANOSONIC STATED THAT THE CHEMICAL RESERVOIR WAS LEAKING ALSO. (DATE OF INCIDENT (B)(6) 2021). DEVICE: INCOMING/INTO SERVICE DATE: (B)(6) 2016, MODEL: N00010, S/N# (B)(4), UNIT IS FAILING AND GIVING 3188 ERROR CODE, FOUND THAT THE CHEMICAL RESERVOIR WAS LEAKING. (DATE OF INCIDENT (B)(6) 2021). DEVICE: INCOMING/INTO SERVICE DATE: (B)(6) 2016, MODEL: N00010, S/N# (B)(4), DISINFECTED IS LEAKING CHEMICALS ALL OVER COUNTER. (DATE OF INCIDENT (B)(6) 2021).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
860383 TROPHON EPR HIGH LEVEL DISINFECTION REPROCESSING INSTRUMENT FOR ULTRASONIC TRANSDUCERS OUJ NANOSONICS LIMITED N00010

Patients

Seq Age Sex Outcome Treatment
1