The user facility stated instruments present in the cycle with a failed biological indicator (bi), were used in a patient procedure.The v-pro 60 cycle tape was reviewed and no issues were noted; the cycle completed successfully.Retain testing was performed on the lot number subject of the reported event; no issues were noted and the dhr evidenced the scbi lot was manufactured to specification.As the v-pro 60 cycle parameters were achieved as evidenced by the cycle printout, the failure is attributed to user mishandling of the scbi.Per the steris account manager, in-service training will be offered to the user facility on the proper use and handling of the verify v24 scbi.No additional issues have been reported.
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