3017 EO GAS STERILIZER

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 2015-03-05 for 3017 EO GAS STERILIZER manufactured by Steris Mexico, S. De R.l. De C.v..

Event Text Entries

[21727342] The user facility reported that their eo gas sterilizer alarmed. No injury was reported.
Patient Sequence No: 1, Text Type: D, B5


[22022596] A steris service technician arrived onsite and put the sterilizer in service mode to pull any remaining eo gas in the chamber. Before the technician's arrival the gas was contained in the sterilizer and the sterilizer operated properly to pull a vacuum after a cycle alarm. The technician opened the sterilizer door and found the gas canister needle still in the canister. When the technician removed the canister from the sterilizer the eo monitor located behind the sterilizer alarmed due to proximity of the canister to the alarm. Due to the alarm, the room was evacuated. The technician stated that a valve was not functioning properly causing the needle to puncture the gas canister out of sequence subsequently causing gas to release before the sterilization phase. The technician repaired the unit, ran a test cycle and confirmed it to be operational. No additional issues have been reported.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3005899764-2015-00014
MDR Report Key4571972
Report Source06
Date Received2015-03-05
Date of Report2015-03-05
Date of Event2015-02-04
Date Mfgr Received2015-02-04
Date Added to Maude2015-04-06
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 MEXICO, S. DE R.L. DE C.V.
Manufacturer StreetAVENIDA AVANTE 790 PARQUE INDUSTRIAL GUADALUPE
Manufacturer CityGUADALUPE, NUEVO LEON 67190
Manufacturer CountryMX
Manufacturer Postal Code67190
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name3017 EO GAS STERILIZER
Generic NameSTERILIZER
Product CodeFLF
Date Received2015-03-05
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTERIS MEXICO, S. DE R.L. DE C.V.
Manufacturer AddressAVENIDA AVANTE 790 PARQUE INDUSTRIAL GUADALUPE GUADALUPE, NUEVO LEON 67190 MX 67190


Patients

Patient NumberTreatmentOutcomeDate
10 2015-03-05

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