RELIANCE 120L 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 2015-04-22 for RELIANCE 120L CART WASHER manufactured by Steris Canada Corporation.

Event Text Entries

[15842201] The user facility reported their reliance 120l cart washer had a steam leak. The reported steam leak caused an employee to experience eye discomfort. The employee sought medical treatment. No report of procedural delay or cancellation.
Patient Sequence No: 1, Text Type: D, B5


[16145095] The employee subject of the reported event was on the decontamination side of the washer and had loaded the cart into the washer. The employee proceeded to clean other instruments when she reported steam was filling the room. The employee vacated the room and sought medical treatment for eye discomfort. The unit subject of the reported event is maintained by the user facility and the customer chose not to place a service request with steris. The technician was not permitted to inspect the unit, but was allowed to observe the customer as they ran several cycles on the unit. The observed cycles did not have any issues or alarms and were completed successfully. Steris attempted to follow up with the user facility about the current condition of the employee subject of the reported event, but the user facility did not provide any additional information regarding the employee. However, the user facility did confirm that the unit subject of the reported event has not experienced any additional issues.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9680353-2015-00032
MDR Report Key4720048
Report Source06
Date Received2015-04-22
Date of Report2015-04-22
Date of Event2015-03-25
Date Mfgr Received2015-03-25
Date Added to Maude2015-05-22
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 NameRELIANCE 120L CART WASHER
Generic NameWASHER
Product CodeFLH
Date Received2015-04-22
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 2015-04-22

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