FDA Adverse Event Malfunction Summary report: N

PRE-VACUUM STERILIZER

MDR report key: 8342 · Received August 4, 1994

Report

Report Number
8342
Event Type
Malfunction
Date Received
August 4, 1994
Date of Event
July 29, 1994
Report Date
August 2, 1994
Manufacturer
AMERICAN STERILIZER CO.
Product Code
FTR
Product Problem
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

STAFF AT SURGERY CENTER INFORMED OR SUPERVISOR THAT INSTRUMENTATION WRAPPED IN DOUBLE PULL-BACK POUCHES CONTAINED VISIBLE MOISTURE AND CONDENSATION AFTER STERILE PROCESSING. MFR REP CALLED IMMEDIATELY AND REPAIRED STERILIZER. STERILIZER FOUND TO HAVE VACUUM SETTING AT 1/2 OF ACCEPTABLE SETTING. ALL WRAPPED INSTRUMENTS FROM WEEK OF 7/25 TO 7/29 WERE RE-WRAPPED. DART TEST AND CHEMICAL INDICATORS DID NOT SHOW EVIDENCE A DEFECT OCCURRED. A DAILY LOG IS NOW KEPT OF TEST RESULTS FOR STERILIZER.DEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: INVALID DATA. INVALID DATA - REGARDING MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: 01-JUN-94. SERVICE PROVIDED BY: FACTORY TRAINED/AUTHORIZED/OWNED SERVICE ORGANIZATION. SERVICE RECORDS AVAILABLE.IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, PERFORMANCE TESTS PERFORMED. RESULTS OF EVALUATION: COMPONENT FAILURE, FAILURE TO CYCLE. CONCLUSION: DEVICE FAILURE OCCURRED AND WAS RELATED TO EVENT, DEVICE FAILURE DIRECTLY CAUSED EVENT, DEVICE FAILURE DIRECTLY CONTRIBUTED TO EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: DEVICE REPAIRED AND PUT BACK IN SERVICE, INSERVICED BY MANUFACTURER/DISTRIBUTOR REPRESENTATIVE. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRE-VACUUM STERILIZER FTR AMERICAN STERILIZER CO. FF231010010000

Patients

Seq Age Sex Outcome Treatment
1 UNK Other