DSD-201

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 2019-04-24 for DSD-201 manufactured by Medivators Inc..

Event Text Entries

[143035105] A medivators field service engineer (fse) reported a facility had not been using test strips to test the minimum required concentration (mrc) of the high-level disinfectant before each reprocessing cycle in their dsd-201 automated endoscope reprocessor (aer). There is potential that the disinfectant cycle did not reach high-level disinfection, thus there is potential for patient cross-contamination. It is required per the aer user manual to monitor mrc levels. Additionally, the rapicide glutaraldehyde indicator test strip directions for use indicate that the disinfectant should be tested for mrc before each cycle. The number of endoscopes reprocessed without checking mrc is unknown. Medivators fse informed the facility that it is required to test mrc before each disinfectant cycle. There have been no reports of patient adverse events. This complaint will continue to be monitored in the medivators complaint handling system.
Patient Sequence No: 1, Text Type: N, H10


[143035106] A medivators field service engineer (fse) reported a facility had not been using test strips to test the minimum required concentration (mrc) of the high-level disinfectant before each reprocessing cycle in their dsd-201 automated endoscope reprocessor (aer). There is potential that the disinfectant cycle did not reach high-level disinfection, thus there is potential for patient cross-contamination.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2150060-2019-00032
MDR Report Key8547191
Report SourceCOMPANY REPRESENTATIVE
Date Received2019-04-24
Date of Report2019-04-24
Date of Event2019-04-04
Date Mfgr Received2019-04-04
Device Manufacturer Date2009-06-25
Date Added to Maude2019-04-24
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 ContactHANNAH SHRADER
Manufacturer Street14605 28TH AVE N
Manufacturer CityMINNEAPOLIS MN 55447
Manufacturer CountryUS
Manufacturer Postal55447
Manufacturer Phone7635596863
Manufacturer G1MEDIVATORS INC.
Manufacturer Street14605 28TH AVE N
Manufacturer CityMINNEAPOLIS MN 55447
Manufacturer CountryUS
Manufacturer Postal Code55447
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDSD-201
Generic NameAUTOMATED ENDOSCOPE REPROCESSOR
Product CodeFEB
Date Received2019-04-24
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDIVATORS INC.
Manufacturer Address14605 28TH AVE N MINNEAPOLIS MN 55447 US 55447


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-04-24

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