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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AESCULAP INC. STEAM STER LOCKS ORANGE; STERILE TECHNOLOGY

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AESCULAP INC. STEAM STER LOCKS ORANGE; STERILE TECHNOLOGY Back to Search Results
Model Number US906
Device Problems Material Integrity Problem (2978); Unexpected Color (4055)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/11/2021
Event Type  malfunction  
Manufacturer Narrative
If additional information or investigation results become available, a supplemental report will be submitted.
 
Event Description
It was reported that there was an issue with a steam ster locks orange.It was noted that the orange locks does not change color when going through sterilization.Blue does not change to brown.Additional information was not provided.Associated medwatch-reports: 2916714-2021-00231 ((b)(4) - us906).
 
Manufacturer Narrative
Manufacturer evaluation: although the device was returned by the complainant, the sample was lost during shipment.Additionally, no on-site evaluation of the unit was performed and no parts were returned for failure analysis.Therefore, the investigation was not able to confirm a device issue that could be associated with the reported event.Although the lot number of the lock was provided, the indicator lot # was not available.Therefore, the device history records (dhr) were not able to be reviewed.However, all device history records (dhr) are reviewed and released according to documented procedures and a device is not released if it does not meet requirements or is nonconforming.A definitive conclusion regarding the complaint incident cannot be reached without a physical examination of the complaint device.
 
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Brand Name
STEAM STER LOCKS ORANGE
Type of Device
STERILE TECHNOLOGY
Manufacturer (Section D)
AESCULAP INC.
3773 corporate parkway
center valley PA 18034
Manufacturer (Section G)
AESCULAP INC.
3773 corporate parkway
center valley PA 18034
Manufacturer Contact
jonathan severino
3773 corporate parkway
center valley, PA 18034
4847197287
MDR Report Key12962049
MDR Text Key283624351
Report Number2916714-2021-00230
Device Sequence Number1
Product Code KCT
UDI-Device Identifier05055049091927
UDI-Public5055049091927
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K890759
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 03/17/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/08/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberUS906
Device Catalogue NumberUS906
Device Lot Number613453-01
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/17/2023
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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