There were no reported patient injuries associated with this report.On (b)(6) 2015, custom ultrasonics was informed by infection control that trace amounts of (b)(6) were found from samples taken on (b)(6) 2014 from both processing chambers of a machine.A liter sample of water was taken from each of the four processing chambers from the two system 83 plus 9 machines at facility (s/n (b)(4)) and sent to a third party for testing.The samples taken from the system 83 plus 9 machine, s/n (b)(4) were found to be negative, while samples taken from system 83 plus 9 machine, s/n (b)(4)-a were positive for mal.The machines utilize the same water source; however, each machine has a dual water filter assembly installed.No further information available at this time.Investigation is ongoing once more information becomes available a follow up report will be submitted.
|