NA
Received Dec 18, 2025 · Event occurred Nov 18, 2025
Report 3005899764-2025-00100 · MDR key 23843486
Device
Generic name
Atlas Transfer Carriage
Manufacturer
Steris Mexico, S. De R.l. De C.v.Model number
AX083020003Catalog number
AX083020003
Product problems
- Unintended Movement
- Unintended Movement
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
TO RESOLVE THE ISSUE, THE TECHNICIAN REPLACED THE CART AND REPAIRED THE DOCKING STATION. THE UNIT WAS TESTED, CONFIRMED TO BE OPERATING ACCORDING TO SPECIFICATION, AND RETURNED TO SERVICE. A STERIS ACCOUNT MANAGER PROVIDED IN-SERVICE TRAINING ON THE PROPER USE AND OPERATION OF THE EVOLUTION TRANSFER CARRIAGE, SPECIFICALLY ON PROPERLY LATCHING THE CARRIAGE TO THE DOCKING STATION. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.
Additional Manufacturer Narrative
A STERIS SERVICE TECHNICIAN ARRIVED ONSITE FOLLOWING THE REPORTED EVENT TO INSPECT THE UNIT AND FOUND THAT THE DOCKING STATION, TRANSFER CARRIAGE AND THE LOADING CAR WERE DAMAGED AS A RESULT OF THE REPORTED EVENT. BASED ON THE DESCRIPTION OF THE EVENT AND THE TECHNICIAN'S INSPECTION, IT IS LIKELY THAT THE TRANSFER CARRIAGE'S FRONT WHEEL ASSEMBLY HAD NOT BEEN PROPERLY LOCKED TO THE STERILIZER'S DOCKING STATION RESULTING IN THE REPORTED EVENT. THE CARRIAGE SUBJECT OF THE REPORTED EVENT IS PENDING REPAIRS. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE ADDITIONAL INFORMATION BECOMES AVAILABLE.
Description of Event or Problem
THE USER FACILITY REPORTED THAT THEIR EVOLUTION TRANSFER CARRIAGE FELL TO THE FLOOR WHILE AN EMPLOYEE WAS UNLOADING THE STERILIZER. NO REPORT OF INJURY.