MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2017-05-26 for 14100_90 manufactured by Advanced Sterilization Products.
[76177430]
Brand name - the correct brand name is sterrad? Chemical indicator strip. Catalog number - the correct catalog number is 14100. Lot number - the correct lot number is 10705037016198.
Patient Sequence No: 1, Text Type: N, H10
[76177431]
A customer reported a sterrad? Chemical indicator strip did not change color correctly after a completed sterrad? 100s cycle. The affected load was reprocessed. There was no report of infection, injury or harm to patient(s) associated with this issue. Although there is no report of patient injury or harm and no prior incidents have resulted in serious injury, advanced sterilization products (asp) has determined in this situation sterility cannot be assured. Therefore, as a matter of policy asp had decided to report all incidents of sterrad? Chemical indicator strips not changing color correctly. The 1-114gbys and 1-114gdxi are related complaints from the same facility. This is one of two 3500a reports being submitted for this product malfunction. Please reference manufacturer report numbers: 2084725-2017-00256 and 2084725-2017-00257.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2084725-2017-00256 |
| MDR Report Key | 6594035 |
| Report Source | COMPANY REPRESENTATIVE,HEALTH |
| Date Received | 2017-05-26 |
| Date of Report | 2017-05-01 |
| Date of Event | 2017-05-01 |
| Date Mfgr Received | 2017-06-21 |
| Date Added to Maude | 2017-05-26 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | JOAQUIN KURZ |
| Manufacturer City | IRVINE CA 92618 |
| Manufacturer Country | US |
| Manufacturer Postal | 92618 |
| Manufacturer Phone | 9497893837 |
| Manufacturer G1 | ADVANCED STERILIZATION PRODUCTS |
| Manufacturer Street | 33 TECHNOLOGY DRIVE |
| Manufacturer City | IRVINE CA 92618 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 92618 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Generic Name | CHEMICAL STERILIZATION PROCESS INDICATOR |
| Product Code | JOJ |
| Date Received | 2017-05-26 |
| Catalog Number | 14100_90 |
| ID Number | 14100-90 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ADVANCED STERILIZATION PRODUCTS |
| Manufacturer Address | 33 TECHNOLOGY DRIVE IRVINE CA 92618 US 92618 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-05-26 |