EAGLE 3017 100% ETO STERILIZER 1301043

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2009-04-01 for EAGLE 3017 100% ETO STERILIZER 1301043 manufactured by Steris Mexico, S.de R.l. De C.v..

Event Text Entries

[1080263] While opening the door of an eagle ethylene oxide sterilizer, the operator reported that a burst of hot air came out and struck her face. The employee inhaled the air, which irritated her eyes and throat. The employee went to the emergency room for treatment and was hospitalized for observation and released. No further information has been reported. The employee stated this event occurred when the sterilizer was opened for the first time after sitting idle over the weekend.
Patient Sequence No: 1, Text Type: D, B5


[1898100] Steris contacted the user facility for additional information on the injured employee, however no additional information was provided.
Patient Sequence No: 1, Text Type: D, B5


[8255094] A steris technician inspected the sterilizer and discovered an oily substance in the sterilizer chamber and a strong pungent odor. Each of the 4 ethylene oxide sterilizers at this site were found to have the oily substance and accompanying odor. The odor detected may have originated from the oily substance sitting in the machines as the machines remain at 130 degrees f when idle. However, the origin of the oily substance is unknown. The hospital's facilities department checked the compressor for oil leaks, but the compressor in this device does not use oil. The bronze sintered elements located in the device's air dryers were replaced and checked for oil, but no oil was found. The steris technician shut down the unit, which was taken out of service. The facility continues to use its three other sterilizers units. The investigation into the source of the oily substance and odor is ongoing.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3005899764-2009-00003
MDR Report Key1353648
Report Source05,06,07
Date Received2009-04-01
Date of Report2009-04-01
Date of Event2009-03-02
Device Manufacturer Date2002-10-07
Date Added to Maude2009-04-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. MONTSERRAT POSADA
Manufacturer StreetAVENIDA AVANTE 790 PARQUE INDUSTRIAL GUADALUPE
Manufacturer CityGUADALUPE, NUEVO LEON 67190
Manufacturer CountryMX
Manufacturer Postal67190
Manufacturer Phone818008 832
Manufacturer G1STERIS MEXICO, S.DE R.L. DE C.V.
Manufacturer StreetAVENIDA AVANTE 790 PARQUE INDUSTRIAL GUADALUPE
Manufacturer CityGUADALUPE, NUEVO LEON 67190
Manufacturer CountryMX
Manufacturer Postal Code67190
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEAGLE 3017 100% ETO STERILIZER
Generic Name3017 ETO STERILIZER
Product CodeFLF
Date Received2009-04-01
Model Number1301043
Catalog Number1301043
Lot NumberNA
ID NumberNA
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTERIS MEXICO, S.DE R.L. DE C.V.
Manufacturer AddressAVENIDA AVANTE 790 PARQUE INDUSTRIAL GUADALUPE GUADALUPE, NUEVO LEON 67190 MX 67190


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2009-04-01

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