FDA Adverse Event
Malfunction
Summary report: N
STERISIL G5
MDR report key: 18419235
·
Received December 28, 2023
Report
- Report Number
- MW5149674
- Event Type
- Malfunction
- Date Received
- December 28, 2023
- Date of Event
- December 26, 2023
- Report Date
- December 26, 2023
- Manufacturer
- SOLMETEX (STERISIL)
- Product Code
- EIA
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MD, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
A WATER FILTRATION UNIT FAILED MULTIPLE TIMES DUE TO A KNOWN FAULTY FLOWMETER, FLOODING OUR STERILE PROCESSING DEPARTMENT CAUSING STERILIZATION TO BE HALTED AND IMPACTING OUR ABILITY TO FACILITATE PATIENT CARE. PART WAS REPLACED RECENTLY DUE TO SAME PROBLEM. MANUFACTURER TECH SUPPORT LISTED PART AS A COMMON POINT OF FAILURE. FLOWMETER IS IDENTIFIED AS PART #10 ON UNIT SCHEMATICS ATTACHED NEAR THE BLADDER TANK. SPECIFICALLY THE FLOWMETER FAILS ORTHOGONALLY TO THE PART AS IT EXPLODES DUE TO OVER PRESSURE FOR THE MATERIAL. CLEARLY A CASE OF BAD MANUFACTURING THAT WILL CONTINUE TO CAUSE PROBLEMS THAT WILL IMPACT PATIENT CARE OPERATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2106515 | STERISIL G5 | UNIT, OPERATIVE DENTAL | EIA | SOLMETEX (STERISIL) | G5 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |