SYSTEM 1E PROCESSOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-22 for SYSTEM 1E PROCESSOR manufactured by Steris Canada Corporation.

Event Text Entries

[100920546] No report of procedure delay or cancellation. Following the reported event, a steris service technician arrived onsite to inspect the unit. The technician found the unit to be operating according to specification; no repairs were required. While on-site, the technician identified that the user facility's work room where the system 1e processor is located has inadequate air circulation. A steris account manger spoke to the facility's personnel regarding ventilation options to the work room where the system 1e is located. The user facility will work towards adding ventilation to the work room. Section 3-3 of the system 1e operator manual state "the sterilant concentrate should be used in a well ventilated room. Conformance to aami st58 is recommended". The system 1e operator manual (2-2) states, "warning: to avoid accumulated concentration of peracetic acid vapor, use s40 sterilant concentrate in a well ventilated room or area. " no additional issues have been reported.
Patient Sequence No: 1, Text Type: N, H10


[100920547] The user facility reported that their system 1e processor was emitting an odor. An employee experienced a mild headache as a result. No medical treatment was sought or administered and the employee continued working.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9680353-2018-00016
MDR Report Key7290601
Date Received2018-02-22
Date of Report2018-02-22
Date of Event2018-01-23
Date Mfgr Received2018-01-23
Date Added to Maude2018-02-22
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 NameSYSTEM 1E PROCESSOR
Generic NamePROCESSOR
Product CodeNZA
Date Received2018-02-22
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTERIS CANADA CORPORATION
Manufacturer Address490 ARMAND-PARIS QUEBEC, QUEBEC GIC 8A3 CA GIC 8A3


Patients

Patient NumberTreatmentOutcomeDate
10 2018-02-22

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