FDA Adverse Event Summary report: N

REMANUFACTURED 20" CENTURY STERILIZER

MDR report key: 3897191 · Received June 26, 2014

Report

Report Number
3005899764-2014-00049
Date Received
June 26, 2014
Date of Event
June 2, 2014
Report Date
June 26, 2014
Manufacturer
STERIS MEXICO, S. DE R.L. DE C.V.
Product Code
FLE
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 ARRIVED AT THE FACILITY, INSPECTED THE STERILIZER AND CONFIRMED THE CAUSE OF THE LEAK WAS A DAMAGED SIGHT GLASS. THE TECHNICIAN MADE THE REQUIRED REPLACEMENTS, PERFORMED A TEST CYCLE AND CONFIRMED THE UNIT WAS OPERATING TO SPECIFICATION. THE STERILIZER WAS INSTALLED IN NOVEMBER OF 2011 AND IS NOT UNDER STERIS SERVICE CONTRACT.

Description of Event or Problem · 1

THE USER FACILITY REPORTED THEIR UNIT WAS LEAKING WATER. THE AMOUNT OF WATER WHICH LEAKED WAS APPROXIMATELY ONE GALLON OF WATER. NO INJURIES OR PROCEDURAL DELAYS/CANCELLATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
373438 REMANUFACTURED 20" CENTURY STERILIZER STERILIZER FLE STERIS MEXICO, S. DE R.L. DE C.V.

Patients

Seq Age Sex Outcome Treatment
1