The user facility reported that four biological indicators contained no media after processing four separate cycles.The reported event may be attributed to inadvertent damage of the biological indicators by user facility personnel.The celerity 20 hp bi instructions for use state "before use, examine the bi to ensure that the media-filled cap is not fully seated on the top of the vial and that the foil seal on the cap remains intact.Without removing the cap, examine the bi for evidence of media in the vial.If media is detected in the vial, the seal has been compromised, do not use the bi." steris inspected the retains of the lot number subject of this event and confirmed there was no evidence of damage, and all retains contained media.Additionally, the device history record was reviewed, and no abnormalities were found.No additional issues have been reported.
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