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