MAUDE MDR 918242

MDR report key
918242
Report number
2084725-2007-00270
Event key
0
Event type
3
Date of event
2007-08-28
Date received
2007-09-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
STEVE PRIOLO
Address
33 TECHNOLOGY DR. IRVINE CA 92618 US
Phone
949-949-9497
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1STERRAD 200 STERILIZATION SYSTEMSTERILIZERYAMATO LAB-TECH CO., LTDFLF10201-001NANANYY

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12007-09-250

Event Narratives#

D

Patient 1

THE CUSTOMER REPORTED A HAZE COMING FROM THEIR UNIT. THE CUSTOMER STATED THAT THERE WERE NO REPORTS OF PHYSICIAL SYMPTOMS RELATED TO THE OIL MIST. THE ASP FIELD SVC ENGINEER WENT TO THE FACILITY TO REPAIR THE UNIT.

N

Patient 1

.