ADVANTAGE PLUS 1-2-510.003

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2019-05-01 for ADVANTAGE PLUS 1-2-510.003 manufactured by Medivators.

Event Text Entries

[143705960] The facility reported employees developed exposure symptoms from rapicide pa high level disinfectant (hld) that leaked from their advantage plus automated endoscope reprocessor (aer). The facility reported the aer had a leak they could not locate. They reported hld ran onto the floor, then cleaned up with towels which were the placed in the dirty laundry hamper. After a couple hours, the employees reported a strong odor and noticed a haze in the room. One of the employees opened the hamper to find a thin cloud of fumes and reported the towels had some type of noticeable chemical breakdown. The facility used baking soda to neutralize the towels and chemical. Three employees reported symptoms of eye and throat irritation, nausea, headache and chest pain. The employees were sent to employee health and referred to ed for evaluation. They are reported to be fine. Medivators field service engineer arrived on site and repaired the leak. The machine was tested, and it ran within specification. The facility failed to follow the ifu and sds disposal instructions for rapicide pa hld. This complaint will continue to be monitored in the medivators complaint system.
Patient Sequence No: 1, Text Type: N, H10


[143705961] The facility reported employees developed exposure symptoms from rapicide pa high level disinfectant that leaked from their advantage plus automated endoscope reprocessor (aer).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2150060-2019-00034
MDR Report Key8569468
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2019-05-01
Date of Report2019-05-01
Date of Event2019-04-04
Device Manufacturer Date2012-08-10
Date Added to Maude2019-05-01
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 ContactLAUREN JOHNSON
Manufacturer Street14605 28TH AVE N
Manufacturer CityPLYMOUTH MN 55447
Manufacturer CountryUS
Manufacturer Postal55447
Manufacturer G1MEDIVATORS
Manufacturer Street14605 28TH AVE N
Manufacturer CityPLYMOUTH MN 55447
Manufacturer CountryUS
Manufacturer Postal Code55447
Single Use3
Remedial ActionPM
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADVANTAGE PLUS
Generic NameAUTOMATED ENDOSCOPE REPROCESSOR
Product CodeFEB
Date Received2019-05-01
Model Number1-2-510.003
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDIVATORS
Manufacturer Address14605 28TH AVE N PLYMOUTH MN 55447 US 55447


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-05-01

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.