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 |