ADVANCED STERILIZATION PRODUCTS 387P - 2 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2009-12-18 for ADVANCED STERILIZATION PRODUCTS 387P - 2 NA manufactured by Johnson And Johnson.

Event Text Entries

[1451473] While cleaning an endoscope, the tech noted the device (asp automatic endoscope reprocessor) to be running hot. She called the charge nurse to the unit and when she felt the lid, it was extremely hot. She stopped the cleaning cycle and called biomed. Biomed came into the room and lifted up the lid and steam came up and when he checked the solution temp, it was around 107 degrees. The fumes from the cidex opa went into the air and caused some eye irritation/light headedness. Staff removed from area. Device was taken out of service and contained in a secure area. The asp company was called and a message was left for advanced sterilization products rep. A return call from the company came later on the day of the event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5014048
MDR Report Key1564735
Date Received2009-12-18
Date of Report2009-12-18
Date of Event2009-12-17
Date Added to Maude2009-12-28
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameADVANCED STERILIZATION PRODUCTS
Generic NameAUTOMATIC ENDOSCOPE REPROCESSOR
Product CodeNVE
Date Received2009-12-18
Model Number387P - 2
Catalog NumberNA
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerJOHNSON AND JOHNSON
Manufacturer Address33 TECHNOLOGY DR. IRVINE CA 92616982 US 92616 9824


Patients

Patient NumberTreatmentOutcomeDate
10 2009-12-18

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