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