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