inforMED
MalfunctionFLE

ATLAS

Received Apr 10, 2026 · Event occurred Mar 10, 2026

Report 3005899764-2026-00029 · MDR key 24845361

Device

Generic name

Transfer Carriage

Model number

AX0660230830000013

Catalog number

AX0660230830000013

Product problems

  • Failure to Align

Patient

NA · Unknown

  • Pain

Narrative

Additional Manufacturer Narrative

A STERIS SERVICE TECHNICIAN ARRIVED ON SITE TO INSPECT THE ATLAS TRANSFER CARRIAGE AND FOUND THAT THE TRANSFER CARRIAGE RAIL WAS BENT, CAUSING THE CARRIAGE TO MIS-ALIGN TO THE RAIL INSIDE THE STERILIZER. UPON FURTHER INVESTIGATION IT WAS LEARNED THAT THE EMPLOYEE "PULLED FORCEFULLY" ON THE ATLAS TRANSFER CARRIAGE AT THE TIME OF THE REPORTED EVENT. TO RESOLVE THE ISSUE, THE TECHNICIAN ADJUSTED THE ROLLERS AND WASHERS ON THE TRANSFER CARRIAGES, STRAIGHTENED THE RAIL GUIDES, AND ENSURED THE STERILIZER DOCKING POINTS WERE LEVEL WITH TRANSFER CARRIAGES. 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 AN INJURY TO THEIR SHOULDER WHILE ATTEMPTING TO REMOVE THE ATLAS TRANSFER CARRIAGE FROM THE STERILIZER. THE EMPLOYEE SOUGHT MEDICAL TREATMENT; HOWEVER, IT IS UNKNOWN WHAT MEDICAL TREATMENT WAS ADMINISTERED.