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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STERIS CANADA CORPORATION RELIANCE SYNERGY WASHER

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STERIS CANADA CORPORATION RELIANCE SYNERGY WASHER Back to Search Results
Device Problems Fluid/Blood Leak (1250); Difficult to Open or Close (2921)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 10/23/2017
Event Type  malfunction  
Manufacturer Narrative
A steris service technician arrived on-site, inspected the unit, and found that a metal side piece of the door gutter was causing an obstruction and required adjustment.The technician adjusted the door gutter, tested the unit, and confirmed it to be operating according to specification.The unit was installed at the user facility in 2007 and is not under steris contract for maintenance services.No additional issues have been reported.
 
Event Description
The user facility reported the door on their reliance synergy washer disinfector did not close properly causing a water leak.No injury, procedure delay, or cancellation was reported.
 
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Brand Name
RELIANCE SYNERGY WASHER
Type of Device
WASHER
Manufacturer (Section D)
STERIS CANADA CORPORATION
490 armand-paris
quebec, quebec GIC 8 A3
CA  GIC 8A3
Manufacturer (Section G)
STERIS CANADA CORPORATION
490, armand-paris
quebec, quebec GIC 8 A3
CA   GIC 8A3
Manufacturer Contact
daniel davy
5960 heisley road
mentor, OH 44060
4403927453
MDR Report Key7033848
MDR Text Key93017751
Report Number9680353-2017-00081
Device Sequence Number1
Product Code MEC
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Reporter Occupation Other
Type of Report Initial
Report Date 11/15/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Was Device Available for Evaluation? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 10/23/2017
Initial Date FDA Received11/15/2017
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 Reuse
Patient Sequence Number1
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