RELIANCE VISION SINGLE CHAMBER WASHER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-03-12 for RELIANCE VISION SINGLE CHAMBER WASHER manufactured by Steris Canada Corporation.

Event Text Entries

[185668946] A steris service technician arrived onsite to inspect the washer and found the root cause of the reported event is attributed to the drying elements. The drying elements overheated resulting in the reported event. The washer was installed in 2013 and is under steris service agreement for maintenance activities. The last maintenance was performed on december 12, 2019. No issues with the function or operation of the washer were identified at this time. The unit was operating according to specification. The technician performed the necessary repairs, tested the unit, confirmed it to be operating according to specification, and returned it to service. No additional issues have been reported.
Patient Sequence No: 1, Text Type: N, H10


[185668947] The user facility reported that a burning smell and smoke were coming from their reliance vision single chamber washer. No report of injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9680353-2020-00010
MDR Report Key9825059
Report SourceUSER FACILITY
Date Received2020-03-12
Date of Report2020-03-12
Date of Event2020-02-11
Date Mfgr Received2020-02-11
Date Added to Maude2020-03-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. DANIEL DAVY
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR, OH
Manufacturer CountryUS
Manufacturer Phone3927453
Manufacturer G1STERIS CANADA CORPORATION
Manufacturer Street490, ARMAND-PARIS
Manufacturer CityQUEBEC, GIC 8A3
Manufacturer CountryCA
Manufacturer Postal CodeGIC 8A3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRELIANCE VISION SINGLE CHAMBER WASHER
Generic NameWASHER
Product CodeMEC
Date Received2020-03-12
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTERIS CANADA CORPORATION
Manufacturer Address490 ARMAND-PARIS QUEBEC, GIC 8A3 CA GIC 8A3


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-12

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