FDA Adverse Event
Malfunction
Summary report: N
RO, MIILENIUM HX, 4118, 115~, 60HZ
MDR report key: 22060110
·
Received May 21, 2025
Report
- Report Number
- 22060110
- Event Type
- Malfunction
- Date Received
- May 21, 2025
- Date of Event
- March 17, 2025
- Report Date
- May 6, 2025
- Manufacturer
- EVOQUA WATER TECHNOLOGIES LLC
- Product Code
- FIP
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- PA
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
[REDACTED], MHX RO #41 [REDACTED] WOULD NOT TURN ON. CLINICAL ENGINEERING DISCOVERED THE FUSE WAS MELTED INTO THE FUSE BOX. THIS WAS NOT THE FIRST MHX RO TO HAVE THIS HAPPENED. IN REVIEWING SERVICE REPORTS, I DISCOVERED THE FOLLOWING MHX ROS HAD THE FUSE BOX REPAIRED FOR SIMILAR REASON WITHIN THE PAST 7 MONTHS. [REDACTED] MHX RO #10 [REDACTED], [REDACTED] MHX RO #21 [REDACTED], [REDACTED] MHX RO #40 [REDACTED], [REDACTED] MHX RO #11 [REDACTED]. THERE ARE 9 OF THE PORTABLE ROS IN THE NETWORK. 5 OF THE 9 HAVE EXPERIENCED THIS ISSUE. THE MACHINES HAVE HAD PREVENTATIVE MAINTENANCE [PM] PERFORMED AS REQUIRED BY MANUFACTURER. THE MACHINES ARE COVERED BY SERVICE CONTRACTS FOR PM WITH EVOQUA NOT WITH CLINICAL ENGINEERING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 886471 | RO, MIILENIUM HX, 4118, 115~, 60HZ | SUBSYSTEM, WATER PURIFICATION | FIP | EVOQUA WATER TECHNOLOGIES LLC | W3T577749 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |