FDA Adverse Event
Summary report: N
RELIANCE VISION SINGLE CHAMBER WASHER/DISINFECTOR
MDR report key: 4093399
·
Received September 16, 2014
Report
- Report Number
- 9680353-2014-00073
- Date Received
- September 16, 2014
- Date of Event
- August 18, 2014
- Report Date
- September 16, 2014
- Manufacturer
- STERIS CANADA CORPORATION
- Product Code
- MEC
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
A STERIS SERVICE TECHNICIAN ARRIVED AT THE FACILITY, INSPECTED THE WASHER AND FOUND MULTIPLE LEAKS ORIGINATING FROM A FLEXIBLE HOSE AND BALL VALVE LOCATED UNDERNEATH THE WASHER. THE TECHNICIAN REPLACED THE HOSE AND BALL VALVE, PERFORMED A TEST CYCLE AND CONFIRMED THE UNIT WAS OPERATING TO SPECIFICATION.THE WASHER WAS INSTALLED IN DECEMBER 2013 AND IS UNDER STERIS WARRANTY. NO FURTHER ISSUES HAVE BEEN REPORTED.
Description of Event or Problem · 1
THE USER FACILITY REPORTED WATER WAS LEAKING FROM THE BOTTOM OF THEIR RELIANCE VISION SINGLE CHAMBER WASHER. THE WATER WAS REPORTED TO HAVE LEAKED INTO THE OPERATORS' WORKING AREA. NO INJURIES OR PROCEDURAL DELAYS/CANCELLATIONS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 570972 | RELIANCE VISION SINGLE CHAMBER WASHER/DISINFECTOR | WASHER | MEC | STERIS CANADA CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |