3M STERI-VAC STERILIZER/AERATOR 5XL 5XLP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2014-01-20 for 3M STERI-VAC STERILIZER/AERATOR 5XL 5XLP manufactured by 3m Health Care.

Event Text Entries

[15883588] There were two units that were placed on each other. One upper and one lower. The upper unit was reported to be on accelerated mode and had a serial number of (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[15930778] It was reported that a male employee within the hospital sterilization facility was exposed to eo when a female operator of the 3m eo sterilizer opened the door prior to full aeration after being informed to abort cycle. It was reported the sterilizer was on accelerated mode when the event occurred. The accelerated mode should not have been used for a standard sterilization process for this mode is only applicable when unit is being serviced. User error contributed to this event. The male employee sought medical consultation at the occupational health clinic within the hospital. It was reported that the employee experienced a headache. At this time, it is not known whether any medical intervention was administered for the hospital would not release this info. The estimated exposure time to the operator was 15 to 30 seconds. There was another individual (female operator of sterilizer) and this subject was reported under 2110898-2014-00003. This report includes more info concerning the actual event and service info. This report only covers the male subject regarding his exposure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2110898-2014-00004
MDR Report Key3608905
Report Source06,07
Date Received2014-01-20
Date of Report2013-12-24
Date of Event2013-12-24
Date Mfgr Received2013-12-24
Device Manufacturer Date1994-07-01
Date Added to Maude2014-02-06
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 ContactLINDA JOHNSEN
Manufacturer StreetINFECTION PREVENTION DIVISION
Manufacturer CityST. PAUL MN 551441000
Manufacturer CountryUS
Manufacturer Postal551441000
Manufacturer Phone6517374376
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name3M STERI-VAC STERILIZER/AERATOR 5XL
Generic NameETHYLENE OXIDE GAS STERILIZER
Product CodeFLF
Date Received2014-01-20
Model Number5XL
Catalog Number5XLP
Lot NumberNA
ID NumberNA
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
Manufacturer3M HEALTH CARE
Manufacturer Address2510 CONWAY AVE. ST. PAUL MN US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-01-20

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