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 2017-09-28 for RELIANCE ENDOSCOPE PROCESSOR manufactured by Steris Canada Corporation.

Event Text Entries

[87860358] A steris service technician arrived onsite to the inspect the reliance endoscope processor and found that the processor's connection block cracked allowing water to leak behind the unit onto the electric connector creating the reported event. The technician replaced and repaired the appropriate components, tested the reliance endoscope processor, and confirmed it to be operational. The reliance endoscope processing system was manufactured in 2009 and is serviced and maintained by the user facility. No additional issues have been noted.
Patient Sequence No: 1, Text Type: N, H10


[87860359] The user facility reported a burning odor emitting from their reliance endoscope processor during a test cycle. No instruments were processed during the reported event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9680353-2017-00068
MDR Report Key6901625
Date Received2017-09-28
Date of Report2017-09-28
Date of Event2017-08-29
Date Mfgr Received2017-08-29
Date Added to Maude2017-09-28
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 ContactMR. DANIEL DAVY
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR OH 44060
Manufacturer CountryUS
Manufacturer Postal44060
Manufacturer Phone4403927453
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 Received2017-09-28
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 2017-09-28

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