120 CART 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 2014-06-27 for 120 CART WASHER manufactured by Steris Canada Corporation.

Event Text Entries

[20298142] The user facility expressed dissatisfaction with their 120 cart washer.
Patient Sequence No: 1, Text Type: D, B5


[20505497] Investigation of this event is currently in process. A follow-up report will be submitted when additional information becomes available.
Patient Sequence No: 1, Text Type: N, H10


[25235433] A steris service technician inspected the washer and found the incorrect model of illumination bulb installed and not functioning. In addition, he found a blown control fuse. The technician removed and replaced the bulb and blown fuse. The technician further inspected the washer and found several components were not functioning properly, specifically the motor fan, tank heater coil and water booster tank. The washer is approximately 17 years old and is serviced and maintained by the user facility. Steris recommended to the user facility that the washer be replaced or be taken out of service due to the technician's findings and age of the unit. The user facility continues to use the washer until a decision on steris' recommended actions are made.
Patient Sequence No: 1, Text Type: N, H10


[25235434] The user facility further reported that a ready light is not illuminating. No injuries or procedural delays/cancellations were reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9680353-2014-00045
MDR Report Key3900571
Report Source06
Date Received2014-06-27
Date of Report2014-06-27
Date of Event2014-06-06
Date Mfgr Received2014-06-06
Date Added to Maude2014-07-18
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 KATHRYN CADORETTE
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR OH 44060
Manufacturer CountryUS
Manufacturer Postal44060
Manufacturer Phone4403927231
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 Name120 CART WASHER
Generic NameWASHER
Product CodeFLH
Date Received2014-06-27
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
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 2014-06-27

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