FDA Adverse Event Malfunction Summary report: N

16" CENTURY STERILIZER

MDR report key: 7743521 · Received August 2, 2018

Report

Report Number
3005899764-2018-00078
Event Type
Malfunction
Date Received
August 2, 2018
Date of Event
July 6, 2018
Report Date
August 2, 2018
Manufacturer
STERIS MEXICO, S. DE R.L. DE C.V.
Product Code
FLE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A STERIS SERVICE TECHNICIAN ARRIVED ONSITE FOLLOWING THE REPORTED EVENT TO INSPECT THE 16" CENTURY STERILIZER. THE TECHNICIAN INSPECTED THE UNIT AND FOUND THE ROOT CAUSE OF THE EVENT TO BE ATTRIBUTED TO THE PRESSURE REGULATOR VALVE (PRV). THE PRV WAS SET TOO HIGH WHICH CAUSED THE SAFETY VALVE TO BREAK, CREATING THE REPORTED STEAM LEAK. THE TECHNICIAN ADJUSTED THE PRV TO THE PROPER SETTING AND REPLACED THE SAFETY VALVE, RAN A TEST CYCLE AND FOUND THE UNIT TO BE OPERATING ACCORDING TO SPECIFICATION. THE 16" CENTURY STERILIZER WAS INSTALLED IN 2009 AND IS UNDER STERIS SERVICE AGREEMENT. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Description of Event or Problem · 1

THE USER FACILITY REPORTED THEIR 16" CENTURY STERILIZER WAS LEAKING STEAM. NO INJURY, PROCEDURE DELAY, OR CANCELLATION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
586594 16" CENTURY STERILIZER STERILIZER FLE STERIS MEXICO, S. DE R.L. DE C.V.

Patients

Seq Age Sex Outcome Treatment
1