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 2020-02-07 for ADVANTAGE PLUS 1-2-510.003 manufactured by Medivators.

Event Text Entries

[178208643] The facility reported that an employee cut their arm in the process of replacing the bottle of rapicide pa part a high level disinfectant (hld) in the automatic endoscope reprocessor (aer). The employee's right arm hit the bottom of the sheet metal divider and they received a small cut on their arm; therefore, user harm has occurred. Medivators field service engineer (fse) was dispatched to examine the machine. Medivators fse reported that a plastic cap was added to the sheet metal edge of the aer. The fse spoke with the employee who received the cut and they reported that they were fine. It was reported that the fse has never seen this happen before, and that human error may have been a factor. Medivators regulatory followed up with the facility, and they reported that the employee went to the emergency center for treatment per hospital policy. It was reported that the employee was wearing appropriate personal protective equipment (ppe), including gloves and a mask at the time of the injury. The facility reported that this type of injury has never occurred before.
Patient Sequence No: 1, Text Type: N, H10


[178208644] The facility reported that an employee cut their arm in the process of replacing the bottle of rapicide pa part a high level disinfectant (hld) in the automatic endoscope reprocessor (aer).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2150060-2020-00005
MDR Report Key9681492
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2020-02-07
Date of Report2020-02-06
Date of Event2020-01-07
Date Mfgr Received2020-01-08
Date Added to Maude2020-02-07
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 ContactLAURIE WEIR
Manufacturer Street9800 59TH AVE N
Manufacturer CityMINNEAPOLIS MN 55442
Manufacturer CountryUS
Manufacturer Postal55442
Manufacturer Phone7638984328
Manufacturer G1MEDIVATORS INC.
Manufacturer Street14605 28TH AVE N
Manufacturer CityMINNEAPOLIS MN 55447
Manufacturer CountryUS
Manufacturer Postal Code55447
Single Use3
Remedial ActionIN
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADVANTAGE PLUS
Generic NameAUTOMATED ENDOSCOPE REPROCESSOR
Product CodeFEB
Date Received2020-02-07
Model Number1-2-510.003
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDIVATORS
Manufacturer Address14605 28TH AVE N MINNEAPOLIS 55447 US 55447


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-07

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