FDA Adverse Event Malfunction Summary report: N

AUTOCLAVE STEAM STERILIZER

MDR report key: 38047 · Received September 16, 1996

Report

Report Number
MW4001497
Event Type
Malfunction
Date Received
September 16, 1996
Manufacturer
TUTTNAUER USA CO. LTD
Product Code
FLE
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE DOOR THRUST BEARING FAILED BECAUSE EXCESSIVE FORCE WAS APPLIED DURING PERVIOUS OPERATION OF CLOSING THE CHAMBER DOOR. THIS CAUSES A THRUST BALL BEARING TO FAIL. THE MFR'S INVESTIGATION REPORT FURTHER INDICATES THAT IF THE FACTORY INSTRUCTIONS FOR CLOSING THE DOOR ARE FOLLOWED, THERE WILL BE NO PROBLEM. THE MFR'S INVESTIGATION REPORT STATES "DESPITE THE FACT THAT NO ACTUAL DANGER EXISTS AS THE DOOR WILL ONLY OPEN 3 MM (1/8") AS THE RESULT OF A BROKEN BEARING. A NOISE WILL BE HEARD WHEN THE BEARING BURST AND THE DOOR HANDLE MECHANISM WILL REQUIRE REPLACEMENT, BUT NO OTHER DAMAGE WILL OCCUR." THE MFR STATES THAT THEY HAVE THOUSANDS OF THESE UNITS OPERATING WORLDWIDE AND ONLY 3 COMPLAINTS. THE MFR HAS REPLACED THE BALL BEARING WITH A SOLID MATERIAL THRUST BEARING ON ALL STERILIZERS SHIPPED SINCE 12/18/94. THEY WILL NOT EFFECT A BLANKET RECALL OF ALL MODEL SERIES 2540 UTILIZING THE BALL BEARING. THE MFR HAS SHIPPED 6 NEW REPLACEMENT DOOR CLOSURE DEVICES TO THE COMPLAINANT. THE FINAL SUMMARY OF THE FACTORY INVESTIGATION STATES "THE BEARINGS ON CUSTOMER UNITS WILL BE REPLACED AS PER DEALER DISCRETION." MFR HAS REDESIGNED THE BEARING. USERS OF THIS MODEL THAT EXPERIENCE A DOOR BEARING PROBLEM SHOULD SEND A REPORTING AND PROCESSING MEDICAL MATERIAL COMPLAINTS/QUALITY IMPROVEMENT REPORT, FORM 380, REFERENCING THIS PROJECT. THIS PROJECT IS CLOSED PENDING NEW COMPLAINTS OF THE SAME NATURE. CURRENT COMPLAINANT RECEIVED NEW REPLACEMENT PARTS. POSSIBLE FUTURE COMPLAINANTS WILL BE HANDLED ON A CASE BY CASE BASIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AUTOCLAVE STEAM STERILIZER STEAM STERILIZER FLE TUTTNAUER USA CO. LTD 2540 *

Patients

Seq Age Sex Outcome Treatment
1 *