EVOLUTION TRANSFER CARRIAGE
Received Dec 8, 2023 · Event occurred Nov 10, 2023
Report 3005899764-2023-00068 · MDR key 18291456
Device
Generic name
Transfer Carriage
Manufacturer
Steris Mexico, S. De R.l. De C.v.Model number
AX083020003Catalog number
AX083020003
Product problems
- Device Tipped Over
- Device Tipped Over
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THE STERIS SERVICE TECHNICIAN REPLACED THE LOCKING MECHANISM, TESTED THE FUNCTION AND OPERATION OF THE TRANSFER CARRIAGE, AND RETURNED THE DEVICE TO SERVICE. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.
Additional Manufacturer Narrative
A STERIS SERVICE TECHNICIAN ARRIVED ONSITE FOLLOWING THE REPORTED EVENT TO INSPECT THE 66" EVOLUTION TRANSFER CARRIAGE AND FOUND THAT THE LOCKING MECHANISM WAS BENT. AS THE LOCKING MECHANISM WAS BENT, THIS MAY HAVE CAUSED THE TRANSFER CARRIAGE TO NOT PROPERLY ENGAGE WITH THE DOCKING STATION RESULTING IN THE REPORTED EVENT. THIS UNIT IS NOT UNDER STERIS SERVICE AGREEMENT FOR MAINTENANCE ACTIVITIES. THE USER FACILITY IS RESPONSIBLE FOR ALL MAINTENANCE ACTIVITIES. THE TECHNICIAN COUNSELED USER FACILITY PERSONNEL ON THE PROPER USE AND OPERATION OF THE EVOLUTION TRANSFER CARRIAGE, INCLUDING PROPER MAINTENANCE ACTIVITIES. THE CARRIAGE HAS BEEN REMOVED FROM SERVICE AND IS PENDING REPAIRS. A FOLLOW-UP MDR WILL BE SUBMITTED WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.
Description of Event or Problem
THE USER FACILITY REPORTED THAT THEIR 66" EVOLUTION TRANSFER CARRIAGE FELL TO THE FLOOR WHILE AN EMPLOYEE WAS UNLOADING THE STERILIZER. NO REPORT OF INJURY.