inforMED
MalfunctionMLR

STERRAD® NX STERILIZER

Received Aug 22, 2023 · Event occurred Jul 26, 2023

Report 2084725-2023-00233 · MDR key 17600213

Device

Generic name

Sterrad® Equipment

Catalog number

10033

Lot number

NA

Product problems

  • Environmental Particulates
  • 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 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 MIST/HAZE 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 AVAILABLE FOR FURTHER ANALYSIS. THE ASSIGNABLE CAUSE OF THE MIST, HAZE IS LIKELY DUE TO THE ADAPTER CONVERTER, CATALYTIC CONVERTER, OIL MIST FILTER, AND VACUUM PUMP OIL. THE ASP FIELD SERVICE ENGINEER REPLACED THE PARTS 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. ASP COMPLAINT REF #: (B)(4).

Description of Event or Problem

A CUSTOMER REPORTED AN EVENT OF A ¿SMOKE¿ OR MIST/HAZE 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.

Additional Manufacturer Narrative

A FIELD SERVICE ENGINEER WAS DISPATCHED TO THE CUSTOMER SITE. THE ADAPTER CONVERTER, CATALYTIC CONVERTER, OIL MIST FILTER, AND VACUUM PUMP OIL WERE REPLACED TO RESOLVE THE MIST/HAZE ISSUE. UNIT MEETS SPECIFICATIONS AND WAS RETURNED TO 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).