AMSCO EVOLUTION
Received Apr 10, 2025 · Event occurred Mar 11, 2025
Report 3005899764-2025-00030 · MDR key 21819795
Device
Generic name
Sterilizer
Manufacturer
Steris Mexico, S. De R.l. De C.v.Model number
HC-1500Catalog number
UE06
Product problems
- Device Fell
- Device Fell
Patient
NA · Unknown
- Concussion
- Concussion
Narrative
Additional Manufacturer Narrative
A STERIS SERVICE TECHNICIAN ARRIVED ONSITE FOLLOWING THE REPORTED EVENT TO INSPECT THE UNIT AND FOUND THAT A SCREW AT THE TOP PANEL OF THE STERILIZER WAS MISSING, SUBSEQUENTLY CAUSING THE REPORTED EVENT. THE LAST PREVENTIVE MAINTENANCE OF THE MEDIUM EVOLUTION STERILIZER WAS CONDUCTED IN OCTOBER 2024. IT IS UNKNOWN IF USER FACILITY PERSONNEL REMOVED THE PANEL DURING THAT TIME. TO RESOLVE THE ISSUE, THE TECHNICIAN REINSTALLED THE TOP PANEL AND THE SCREW. THE UNIT WAS TESTED, CONFIRMED TO BE OPERATING ACCORDING TO SPECIFICATION, AND RETURNED TO SERVICE. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.
Description of Event or Problem
THE USER FACILITY REPORTED AN EMPLOYEE OBTAINED A CONCUSSION AFTER THE TOP PANEL OF THEIR MEDIUM EVOLUTION STERILIZER FELL AND CONTACTED THE EMPLOYEE'S HEAD. THE EMPLOYEE VISITED THE EMERGENCY ROOM; HOWEVER, IT IS UNKNOWN IF ANY MEDICAL TREATMENT WAS ADMINISTERED.