FDA Adverse Event Malfunction Summary report: N

ASP AUTOMATIC ENDOSCOPE REPROCESSOR WITH PRINTER

MDR report key: 1230847 · Received November 6, 2008

Report

Report Number
2084725-2008-00725
Event Type
Malfunction
Date Received
November 6, 2008
Date of Event
October 17, 2008
Report Date
October 17, 2008
Manufacturer
MINNTECH CORP
Product Code
FEB
PMA / PMN Number
K832458
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SOLUTION SPILL: CAPITAL EQUIPMENT, EVALUATED AT CUSTOMER SITE. THE FSE FOUND ASP AER LEAKING CIDEX OPA FROM THE HEATER ON THE TANK ASSEMBLY. THE FSE REMOVED AND REPLACED THE TANK ASSEMBLY. THE FSE RAN WASH AND DISINFECT CYCLE. UNIT PERFORMS WITHIN MANUFACTURERS SPECIFICATIONS. RESULTS - TANK.

Description of Event or Problem · 1

THE CUSTOMER ALLEGED THAT THE UNIT WAS LEAKING CIDEX OPA AT THE BOTTOM OF THE RESERVOIR. THERE WERE NO PHYSICAL COMPLAINTS REPORTED. THE ASP FIELD SERVICE ENGINEER (FSE) WENT TO THE FACILITY TO ASSESS THE UNIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ASP AUTOMATIC ENDOSCOPE REPROCESSOR WITH PRINTER ENDOSCOPE REPROCESSOR FEB MINNTECH CORP NA NA

Patients

Seq Age Sex Outcome Treatment
1 NA CIDEX OPA: CATALOG # : 20390