CER-2 OPTIMA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2015-12-14 for CER-2 OPTIMA manufactured by Medivators.

Event Text Entries

[33464738] Medivators clinical specialist observed the facility had manipulated medivators oem hookups for use with a cer-2 optima automated endoscope reprocessor (aer). The facility was not utilizing the hookups in accordance with the hookup or aer ifus. Improper use of hookups could affect the high-level disinfection of endoscopes; therefore potential for patient cross-contamination. The clinical specialist informed the facility of the importance of using hookups appropriately. It is unknown how many scopes were reprocessed using hookups incorrectly. To date, there have been no known reports of patient illness or injury. This complaint will continue to be monitored within the medivators complaint handling system.
Patient Sequence No: 1, Text Type: N, H10


[33464739] Medivators clinical specialist observed the facility had manipulated medivators oem hookups for use with a cer-2 optima automated endoscope reprocessor (aer). The facility was not utilizing the hookups in accordance with the hookup or aer ifus. Improper use of hookups could affect the high-level disinfection of endoscopes; therefore potential for patient cross-contamination.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2150060-2015-00041
MDR Report Key5295943
Report SourceCOMPANY REPRESENTATIVE
Date Received2015-12-14
Date of Report2015-12-14
Date of Event2015-11-17
Date Mfgr Received2015-11-17
Device Manufacturer Date2014-05-12
Date Added to Maude2015-12-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKRISTIN BERGESON
Manufacturer Street14605 28TH AVE N
Manufacturer CityMINNEAPOLIS MN 55447
Manufacturer CountryUS
Manufacturer Postal55447
Manufacturer G1MEDIVATORS
Manufacturer Street14605 28TH AVE N
Manufacturer CityMINNEAPOLIS MN 55447
Manufacturer CountryUS
Manufacturer Postal Code55447
Single Use3
Remedial ActionMA
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCER-2 OPTIMA
Generic NameAUTOMATED ENDOSCOPE REPROCESSOR
Product CodeNVE
Date Received2015-12-14
Model NumberCER-2 OPTIMA
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDIVATORS
Manufacturer Address14605 28TH AVE N MINNEAPOLIS MN 55447 US 55447


Patients

Patient NumberTreatmentOutcomeDate
10 2015-12-14

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