FDA Adverse Event Summary report: N

TRANSFER CART

MDR report key: 5032600 · Received August 26, 2015

Report

Report Number
3005899764-2015-00057
Date Received
August 26, 2015
Date of Event
July 28, 2015
Report Date
August 26, 2015
Manufacturer
STERIS MEXICO, S. DE R.L. DE C.V.
Product Code
FLE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A STERIS SERVICE TECHNICIAN INSPECTED THE TRANSFER CART AND FOUND TWO LOOSE NUTS ON THE RELEASE ROD HOWEVER, IT IS UNLIKELY THAT THIS WOULD HAVE RESULTED IN THE REPORTED EVENT TO OCCUR. THE TECHNICIAN STATED THAT THE REPORTED EVENT IS LIKELY ATTRIBUTED TO THE TRANSFER CART NOT BEING PROPERLY ALIGNED WITH THE TRACK THUS CAUSING THE REPORTED EVENT TO OCCUR. THE TECHNICIAN REPAIRED THE TRANSFER CART, TESTED IT FOR PROPER OPERATION AND ALIGNMENT TO THE STERILIZER AND RETURNED THE CART TO SERVICE. NO ADDITIONAL ISSUES HAVE BEEN REPORTED. THE TECHNICIAN DISCUSSED THE PROPER USE AND OPERATION OF THE TRANSFER CART WITH USER FACILITY STAFF.

Description of Event or Problem · 1

THE USER FACILITY REPORTED THAT WHILE AN EMPLOYEE WAS UTILIZING A TRANSFER CART TO LOAD THE STERILIZER SHE OBTAINED AN INJURY. THE EMPLOYEE SOUGHT AND RECEIVED MEDICAL TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
565218 TRANSFER CART TRANSFER CART TO STERILIZER FLE STERIS MEXICO, S. DE R.L. DE C.V.

Patients

Seq Age Sex Outcome Treatment
1