FDA Adverse Event
Malfunction
Summary report: N
ASP AUTOMATIC ENDOSCOPE REPROCESSOR WITH PRINTER
MDR report key: 1386263
·
Received March 10, 2009
Report
- Report Number
- 2084725-2009-00140
- Event Type
- Malfunction
- Date Received
- March 10, 2009
- Date of Event
- February 11, 2009
- Report Date
- February 11, 2009
- Manufacturer
- UNITROL/MINNTECH COR
- Product Code
- NVE
- 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
ACTUAL COMPONENT EVALUATED AT THE CUSTOMER SITE. THE FSE NOTED THAT GOOD WATER PRESSURE WAS COMING FROM SOURCE. HOWEVER, HE NOTICED THAT WEAK WATER PRESSURE GOING TO AER. THE FSE REPLACED FLOAT SWITCH AND REPLACED 2.0 FILTER. THE FSE RAN 3 CYCLES. THE UNIT MEETS SPECIFICATIONS. THE CUSTOMER CONTINUALLY HAS E01 ERRORS. CONCLUSION: DUE TO REPEATED E01 FAILURES OBSERVED AT CERTAIN CUSTOMER SITES, A CAPA WAS GENERATED TO INVESTIGATE THE ROOT CAUSES.
Description of Event or Problem · 1
THE CUSTOMER ALLEGED THAT THE UNIT WAS LEAKING CIDEX OPA FROM THE FRONT RIGHT CORNER. THE CUSTOMER HAS BEEN PROCESSING FUJINON SCOPES. THERE WERE NO REPORTS OF PHYSICAL INJURIES RELATED TO THE LEAK. A 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 | AER EQUIPMENT | NVE | UNITROL/MINNTECH COR | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | CIDEX OPA: CATALOG#: 20390| 200/400 SERIES FUJINON SCOPES |