FDA Adverse Event Summary report: N

CHEMICAL INDICATOR

MDR report key: 3197249 · Received June 28, 2013

Report

Report Number
8021896-2013-00002
Date Received
June 28, 2013
Date of Event
May 29, 2013
Report Date
June 28, 2013
Manufacturer
ALBERT BROWNE LTD
Product Code
JOJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE UNIT WAS INSPECTED BY A STERIS TECHNICIAN AND WAS FOUND TO BE OPERATING TO SPECIFICATION; NO ISSUES WERE NOTED. THE USER FACILITY DID NOT REPORT ANY FAILED CYCLES. IT WAS CONFIRMED THAT ALL CYCLES PASSED SUCCESSFULLY. A STERIS ACCOUNT MANAGER VISITED THE USER FACILITY AND IDENTIFIED THAT THE FACILITY WAS USING A NON-STERIS CONTAINER. THIS NON-STERIS CONTAINER AND STERIS CI CONFIGURATION HAS NOT BEEN VALIDATED BY STERIS. ON (B)(6) 2013, THE ACCOUNT MANAGER PROVIDED AN IN-SERVICE TO THE USER FACILITY ON THE PROPER USE OF THE V-PRO STERILIZER AND CHEMICAL INDICATORS. NO FURTHER ISSUES HAVE BEEN REPORTED.

Description of Event or Problem · 1

CUSTOMER REPORTED CHEMICAL INDICATOR WAS NOT COMPLETELY CHANGING COLOR. AS A RESULT, PROCEDURES WERE DELAYED. INSTRUMENTS WERE REPROCESSED BEFORE USE IN SUBSEQUENT PATIENT PROCEDURES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
295798 CHEMICAL INDICATOR CHEMICAL INDICATOR JOJ ALBERT BROWNE LTD 023599

Patients

Seq Age Sex Outcome Treatment
1 Other