inforMED
MalfunctionFLE

N/A

Received Jan 3, 2025 · Event occurred Dec 6, 2024

Report 3005899764-2025-00002 · MDR key 21074140

Device

Generic name

Loading Car

Model number

AX082010001

Catalog number

AX082010001

Product problems

  • Sharp Edges
  • Sharp Edges

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

A STERIS SERVICE TECHNICIAN ARRIVED ONSITE FOLLOWING THE REPORTED EVENT TO INSPECT THE EVOLUTION LOADING CARS (SERIAL NUMBERS (B)(6). THE TECHNICIAN IDENTIFIED "SHARP" EDGES ON THE LOADING CARS' SHELF. THE LOADING CARS OF THE REPORTED EVENT HAVE BEEN REMOVED FROM SERVICE AND AWAITING REPLACEMENTS. A FOLLOW-UP MDR WILL BE SUBMITTED ONCE NEW INFORMATION BECOMES AVAILABLE. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Description of Event or Problem

THE USER FACILITY REPORTED THAT THEIR EVOLUTION LOADING CARS HAD SHARP EDGES WHICH ARE SNAGGING AND TEARING HOLES IN THEIR SURGICAL PACKS. A PROCEDURE DELAY WAS REPORTED AS USER FACILITY PERSONNEL ELECTED TO REPROCESS INSTRUMENTS. NO REPORT OF INJURY.

Additional Manufacturer Narrative

THE USER FACILITY HAS RECEIVED NEW SHELVES. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.