inforMED
MalfunctionFLE

AMSCO

Received Oct 23, 2025 · Event occurred Sep 25, 2025

Report 3005899764-2025-00085 · MDR key 23369221

Device

Generic name

Amsco 400 Sterilizer

Catalog number

SR2322211011

Product problems

  • Mechanical Problem
  • Mechanical Problem

Patient

NA · Unknown

  • Pain
  • Pain

Narrative

Additional Manufacturer Narrative

A STERIS SERVICE TECHNICIAN ARRIVED ONSITE FOLLOWING THE EVENT TO INSPECT THE AMSCO 400 STERILIZER AND FOUND THE GUIDE RAILS WITHIN THE STERILIZER TO BE MISALIGNED. AS THE GUIDE RAILS WERE MISALIGNED, THIS CAUSED THE LOADING RACKS TO NOT ENGAGE PROPERLY SUBSEQUENTLY CAUSING THE REPORTED EVENT TO OCCUR. THE TECHNICIAN COUNSELED USER FACILITY PERSONNEL ON THE PROPER LOADING AND UNLOADING PROCEDURES. THE TECHNICIAN ADJUSTED THE STERILIZER RAILS TO ENSURE THE LOADING RACKS ENGAGED PROPERLY, TESTED THE FUNCTION AND OPERATION OF THE STERILIZER, CONFIRMED IT TO BE OPERATING TO SPECIFICATION AND RETURNED THE STERILIZER TO SERVICE. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Description of Event or Problem

THE USER FACILITY REPORTED THAT AN EMPLOYEE "PULLED A MUSCLE" WHILE UNLOADING A CART FROM THEIR AMSCO 400 STERILIZER. NO MEDICAL TREATMENT WAS SOUGHT OR ADMINISTERED.