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 2014-12-31 for 120 CART WASHER manufactured by Steris Canada Corporation.

Event Text Entries

[5264357] The user facility reported that an employee heard a fire alarm, checked the alarm panel and verified it was coming from the second floor decontamination room. The employee entered the room and observed smoke emitting from the cart washer and the sprinkler system going off. The employee turned off the sprinkler system, heard a whistling sound and observed bowing of the washer on one side. The employee turned off the steam and the noise stopped. The fire department was dispatched however, no evacuations were reported. No injuries were reported but procedures were rescheduled for the following day.
Patient Sequence No: 1, Text Type: D, B5


[12728657] A steris service technician inspected the washer and found that the steam valve had stuck in the open position allowing the hot water tank to overheat. The technician repaired the washer, ran a test cycle and confirmed the washer to be operational. No additional issues have been reported. The technician stated that the sprinkler system was located above the washer during the time of the reported event and has since been relocated. The washer is serviced and maintained by the user facility's biomedical department.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9680353-2014-00098
MDR Report Key4374631
Report Source06
Date Received2014-12-31
Date of Report2014-12-31
Date of Event2014-12-03
Date Mfgr Received2014-12-03
Date Added to Maude2015-01-16
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 Received2014-12-31
OperatorHEALTH 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 2014-12-31

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