FDA Adverse Event Summary report: N

RELIANCE SYNERGY WASHER

MDR report key: 2860988 · Received December 6, 2012

Report

Report Number
9680353-2012-00115
Date Received
December 6, 2012
Date of Event
November 9, 2012
Report Date
December 6, 2012
Manufacturer
STERIS CANADA CORPORATION
Product Code
LDS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SD, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A STERIS SERVICE TECHNICIAN INSPECTED THE UNIT AND FOUND THAT THE DRYER PISTON WAS BROKEN. THE TECHNICIAN REPAIRED THE UNIT, RAN A TEST CYCLE AND CONFIRMED IT TO BE OPERATING PROPERLY.

Description of Event or Problem · 1

THE USER FACILITY REPORTED THAT WATER WAS LEAKING FROM THEIR RELIANCE SYNERGY WASHER. THE AMOUNT OF WATER WAS ESTIMATED TO BE 20 GALLONS. NO INJURIES, PROCEDURAL DELAYS OR CANCELLATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RELIANCE SYNERGY WASHER WASHER LDS STERIS CANADA CORPORATION

Patients

Seq Age Sex Outcome Treatment
1