FDA Adverse Event Other Summary report: N

60" CENTURY HC DOMESTIC HINGE

MDR report key: 1236814 · Received October 30, 2008

Report

Report Number
2515984-2008-00012
Event Type
Other
Date Received
October 30, 2008
Date of Event
September 18, 2008
Report Date
October 9, 2008
Manufacturer
STERIS MEXICO S. DE R.L. DE C.V.
Product Code
FLE
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A STERIS SERVICE TECHNICIAN VISITED THE HOSPITAL TO INVESTIGATE THIS INCIDENT. IT WAS DETERMINED THAT DURING ON SITE INSTALLATION, THE LOWER SERVICE ACCESS PANEL HAD NOT BEEN PROPERLY ALIGNED WITH THE BRACKETS AND MAGNETS THAT SECURE THE ACCESS PANEL. THE ACCESS PANEL WAS ADJUSTED SO THAT THIS WILL NOT RECUR.

Description of Event or Problem · 1

THE STERILIZER LOWER SERVICE ACCESS PANEL FELL ON THE INSTRUMENT TECHNICIAN'S LEFT FOOT WHILE LOADING THE STERILIZER. AN X-RAY DETERMINED THAT THE TECHNICIAN'S FOOT WAS NOT BROKEN.

Description of Event or Problem · 1

THE USER FACILITY REPORTED THE EMPLOYEE IS FINE AND HAS NO SUSTAINING INJURIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 60" CENTURY HC DOMESTIC HINGE STERILIZER FLE STERIS MEXICO S. DE R.L. DE C.V. 1112331 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Other