FDA Adverse Event Malfunction Summary report: N

ROUND FILTERS WITH INDICATOR

MDR report key: 18791167 · Received February 27, 2024

Report

Report Number
1319130-2024-00002
Event Type
Malfunction
Date Received
February 27, 2024
Date of Event
January 29, 2024
Report Date
February 27, 2024
Manufacturer
SPSMEDICAL SUPPLY CORP. A DIV. OF CROSSTEX INTL.
Product Code
KCT
UDI-DI
04038653473731
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE USER FACILITY SENT BACK SAMPLES OF THE ROUND FILTERS WITH INDICATOR FOR EVALUATION. THE ROUND FILTERS WITH INDICATOR WERE PROCESSED, AND ALL SAMPLES EVIDENCED PASSING RESULTS; THE INDICATOR DOT CHANGED FULLY IN COLOR. THE REPORTED EVENT WAS UNABLE TO BE DUPLICATED. THE INSTRUCTION FOR USE FOR THE AESCULAP STERILCONTAINER SYSTEM INSTRUCTIONS FOR USE STATES (PG.25), "AFTER STERILIZATION, THE EXTERNAL INDICATOR SHOULD CHANGE FROM THE ORIGINAL INDICATOR COLOR TO INDICATE EXPOSURE TO STERILANT. THE POST STERILIZATION INDICATOR COLOR MAY VARY AND NOT BE EVENLY SHADED. EXTREME STORAGE CONDITIONS SUCH AS EXPOSURE TO DIRECT SUNLIGHT AND/OR STORAGE ON TOP OF OR NEAR HEAT SOURCE SHOULD BE AVOIDED. DO NOT USE IF THE INDICATOR DOT COLOR HAS CHANGED BEFORE BEING PROCESSED. INDICATORS MAY TURN WHITE POST-STERILIZATION IF NOT STORED OUT OF DIRECT LIGHTING." AS NO ISSUES WERE NOTED WITH THE SAMPLES PROVIDED BY THE CUSTOMER AND THE REPORTED EVENT COULD NOT BE DUPLICATED, A ROOT CAUSE COULD NOT BE DETERMINED. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Description of Event or Problem · 0

THE USER FACILITY REPORTED THAT THE FILTER INDICATOR DOT DID NOT FULLY CHANGE IN COLOR. A PROCEDURE DELAY WAS REPORTED AS THE DEVICES WERE NOT UTILIZED AND WERE REPROCESSED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1656159 ROUND FILTERS WITH INDICATOR INDICATOR KCT SPSMEDICAL SUPPLY CORP. A DIV. OF CROSSTEX INTL. US751 04038653473731

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown