inforMED
MalfunctionMLR

STERRAD® NX ALLCLEAR STERILIZER

Received Jul 7, 2023 · Event occurred Jun 12, 2023

Report 2084725-2023-00194 · MDR key 17280063

Device

Generic name

Sterrad® Equipment

Model number

10033-004

Catalog number

10033-004

Lot number

NA

Product problems

  • Device Emits Odor
  • Device Emits Odor

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

E1. INITIAL REPORTER PHONE NUMBER: (B)(6). A FIELD SERVICE ENGINEER WAS DISPATCHED TO THE CUSTOMER SITE. THE OIL MIST FILTER CONNECTOR WAS RESEATED TO RESOLVE THE ODOR/SMELLS ISSUE. UNIT MEETS SPECIFICATIONS AND WAS RETURNED TO SERVICE. H3: ASP INVESTIGATION SUMMARY: THE INVESTIGATION INCLUDED A REVIEW OF THE DEVICE HISTORY RECORD (DHR), TRENDING ANALYSIS OF THE ODOR/SMELLS ISSUE, AND SYSTEM RISK ANALYSIS (SRA). THE DEVICE HISTORY RECORD (DHR) WAS REVIEWED AND NO ISSUES RELATING TO THE FAILURE MODE WERE NOTED. THE INVOLVED UNIT MET MANUFACTURER SPECIFICATIONS AT THE TIME OF RELEASE. TRENDING ANALYSIS OF THE ODOR/SMELLS ISSUE FOR THE STERRAD® NX UNIT WAS REVIEWED FOR THE PRIOR SIX MONTHS FROM THE EVENT DATE, AND NO SIGNIFICANT TREND WAS OBSERVED. REVIEW OF RISK DOCUMENTATION SHOWS THE RISK FOR EXPOSURE TO TOXIC OR CORROSIVE MATERIAL TO BE "LOW." NO PARTS WERE REPLACED IN RESOLVING THIS ISSUE; THEREFORE, NO PARTS WERE AVAILABLE FOR FURTHER ANALYSIS. THE ASSIGNABLE CAUSE OF THE ODOR/SMELLS IS LIKELY DUE TO THE OIL MIST FILTER CONNECTOR. THE ASP FIELD SERVICE ENGINEER RESEATED THE PART AND CONFIRMED THE STERRAD® NX MET FUNCTIONAL SPECIFICATIONS AFTER SERVICE. THE ISSUE WAS RESOLVED AT THE CUSTOMER FACILITY. ASP WILL CONTINUE TO TRACK AND TREND THIS ISSUE. THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY ADVANCED STERILIZATION PRODUCTS, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, ADVANCED STERILIZATION PRODUCTS, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE. ASP COMPLAINT REF #: (B)(4).

Description of Event or Problem

A CUSTOMER REPORTED AN EVENT OF A ¿SMELL¿ OR ODOR EMITTING FROM THE STERRAD® NX STERILIZER. THERE WAS NO REPORT OF ANY INJURIES OR HUMAN REACTIONS. AN ASP FIELD SERVICE ENGINEER WAS DISPATCHED TO ASSESS THE UNIT ONSITE. THIS EVENT IS BEING REPORTED AS A MALFUNCTION REPORT SUBSEQUENT TO A PREVIOUS SERIOUS INJURY.