RELIANCE ENDOSCOPE PROCESSOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-02-03 for RELIANCE ENDOSCOPE PROCESSOR manufactured by Steris Canada Corporation.

Event Text Entries

[37737653] A steris field service technician arrived onsite, inspected the unit, and identified the facility's drain pipe was loose and a check valve required replacement. The technician replaced the check valve and orifice restrictor, re-secured the user facility's drain pipe, and tested the unit. He confirmed it to be operating according to specification and the unit was returned to service. The leaking is attributed to a loose connection from the user facility's pipe. It is most likely that the loose connection damaged the restrictor orifice and necessitated the replacement of the check valve.
Patient Sequence No: 1, Text Type: N, H10


[37737654] The user facility reported their reliance eps was leaking water. No report of injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9680353-2016-00008
MDR Report Key5407279
Date Received2016-02-03
Date of Report2016-02-03
Date of Event2016-01-06
Date Mfgr Received2016-01-06
Date Added to Maude2016-02-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
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 GIC 8A3
Manufacturer CountryCA
Manufacturer Postal CodeGIC 8A3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameRELIANCE ENDOSCOPE PROCESSOR
Generic NameENDOSCOPE PROCESSOR
Product CodeNZA
Date Received2016-02-03
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTERIS CANADA CORPORATION
Manufacturer Address490 ARMAND-PARIS QUEBEC, QUEBEC GIC 8A3 CA GIC 8A3


Patients

Patient NumberTreatmentOutcomeDate
10 2016-02-03

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