RELIANCE SYNERGY WASHER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2013-01-10 for RELIANCE SYNERGY WASHER manufactured by Steris Canada Corporation.

Event Text Entries

[3305232] The user facility reported the unit was leaking water, and produced a large quantity of water. No injuries were reported. No procedural delays or cancellations have been reported.
Patient Sequence No: 1, Text Type: D, B5


[10395802] A steris service technician inspected the unit, and found a broken drying piston valve. The unit was repaired, tested, found to be operational and returned to service. Steris has revised the preventative maintenance schedule for reliance synergy washers to include an inspection of the dryer piston valve every six months.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9680353-2013-00001
MDR Report Key2907945
Report Source06
Date Received2013-01-10
Date of Report2013-01-10
Date of Event2012-12-12
Date Mfgr Received2012-12-12
Date Added to Maude2013-04-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS LINDSEY MCGOWAN
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR OH 44060
Manufacturer CountryUS
Manufacturer Postal44060
Manufacturer Phone4403927519
Manufacturer G1STERIS CANADA CORPORATION
Manufacturer Street490, ARMAND-PARIS
Manufacturer CityQUEBEC, QUEBEC GIC8A3
Manufacturer CountryCA
Manufacturer Postal CodeGIC 8A3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRELIANCE SYNERGY WASHER
Generic NameWASHER
Product CodeLDS
Date Received2013-01-10
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTERIS CANADA CORPORATION
Manufacturer Address490 ARMAND-PARIS QUEBEC, QUEBEC GIC8A3 CA GIC 8A3


Patients

Patient NumberTreatmentOutcomeDate
10 2013-01-10

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