FDA Adverse Event Summary report: N

RELIANCE 120 CART WASHER

MDR report key: 3897185 · Received June 26, 2014

Report

Report Number
9680353-2014-00041
Date Received
June 26, 2014
Date of Event
May 29, 2014
Report Date
June 26, 2014
Manufacturer
STERIS CANADA CORPORATION
Product Code
FLH
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A STERIS SERVICE TECHNICIAN INSPECTED THE CART WASHER AND FOUND THE HOT WATER BOOSTER TANK CONTROL TEMPERATURE REQUIRED REPLACEMENT. THE TECHNICIAN REPAIRED THE WASHER, RAN A TEST CYCLE AND CONFIRMED IT TO BE OPERATIONAL.

Description of Event or Problem · 1

THE USER FACILITY REPORTED THAT WATER AND STEAM WERE LEAKING FROM THE RELIANCE 120 CART WASHER. NO INJURIES OR PROCEDURAL DELAYS/CANCELLATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
373437 RELIANCE 120 CART WASHER WASHER FLH STERIS CANADA CORPORATION

Patients

Seq Age Sex Outcome Treatment
1