STERRAD® 100S STERILIZER
Received Jul 11, 2023 · Event occurred Jun 14, 2023
Report 2084725-2023-00183 · MDR key 17301072
Device
Generic name
Sterrad® Equipment
Manufacturer
Advanced Sterilization ProductsModel number
10101Catalog number
10101
Lot number
NA
Product problems
- Device Emits Odor
- Environmental Particulates
- Device Emits Odor
- Environmental Particulates
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
H3: ASP INVESTIGATION SUMMARY: THE INVESTIGATION INCLUDED A REVIEW OF THE DEVICE HISTORY RECORD (DHR), TRENDING ANALYSIS OF THE MIST/HAZE AND ODOR/SMELLS ISSUES, 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 MIST/HAZE AND ODOR/SMELLS ISSUES FOR THE STERRAD® 100S 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 THESE ISSUES; THEREFORE, NO PARTS WERE AVAILABLE FOR FURTHER ANALYSIS. THE ASSIGNABLE CAUSE OF THE MIST/HAZE AND ODOR/SMELL IS MOST LIKELY DUE TO THE OIL MIST FILTER O-RINGS. THE ASP FIELD SERVICE ENGINEER ADJUSTED THE PARTS AND CONFIRMED THE STERRAD® 100S MET FUNCTIONAL SPECIFICATIONS AFTER SERVICE. THE ISSUES WERE RESOLVED AT THE CUSTOMER FACILITY. ASP WILL CONTINUE TO TRACK AND TREND THIS ISSUE. ASP COMPLAINT REF #: (B)(4).
Description of Event or Problem
A CUSTOMER REPORTED AN EVENT OF A ¿SMOKE¿ OR MIST/HAZE AND A ¿SMELL¿ OR ODOR EMITTING FROM THE STERRAD® 100S STERILIZER. THERE WAS NO REPORT OF ANY INJURIES OR HUMAN REACTIONS. A FIELD SERVICE ENGINEER WAS DISPATCHED TO ASSESS THE UNIT ON SITE. THIS EVENT IS BEING REPORTED AS A MALFUNCTION REPORT SUBSEQUENT TO A PREVIOUS SERIOUS INJURY.
Additional Manufacturer Narrative
A FIELD SERVICE ENGINEER WAS DISPATCHED TO THE CUSTOMER SITE AND CONFIRMED THE REPORTED ISSUES. THE OIL MIST FILTER O-RINGS WERE ADJUSTED TO RESOLVE THE MIST/HAZE AND ODOR/SMELLS ISSUES. THE UNIT WAS RESTORED TO PROPER FUNCTION AFTER SERVICE. 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).