MAUDE Adverse Event Report: STERIS CORPORATION V. MUELLER; CHROMA-LINE BRAND TAKA SUCTION TUBE

Model Number	U-0552
Medical Device Problem Code	Detachment of Device or Device Component (2907)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	10/10/2024
Type of Reportable Event	Malfunction
Event or Problem Description
The user facility reported via medwatch report (mw5161165) that during a patient procedure, components to their chrome-line brand taka m suction tube detached.X-rays were performed confirming that the components did not fall into the patient.No report or injury or procedure delay.
Additional Manufacturer Narrative
The chroma-line brand taka m suction tube subject of the reported event is being returned for evaluation.Investigation of this event is currently in progress.A follow-up report will be submitted when additional information becomes available.
Additional Manufacturer Narrative
The taka suction tube was returned to the supplier for evaluation.Evaluation results determined that excessive force was applied to the device.When the user applied excessive force at the connection of the tube and the handle, it caused the device to break as stated in the reported event.Steris performed in-service training on the proper use and operation of the taka suction tube, specifically the importance of not bending or applying excessive force while in use.The instructions for use states, "avoid mechanical shock or overstressing the devices." "prior to use, inspect devices to ensure proper function and condition.Do not use devices if they do not satisfactorily perform their intended function or if they have physical damage." the device history record was reviewed and confirmed the lot was manufactured according to specification; no abnormalities were noted.No additional issues have been reported.

• Brand Name: V. MUELLER
• Common Device Name: CHROMA-LINE BRAND TAKA SUCTION TUBE
• Manufacturer (Section D): STERIS CORPORATION; 5960 heisley rd; mentor 44060
• Manufacturer (Section G): STERIS CORPORATION; 5960 heisley rd.; mentor OH 44060
• Manufacturer Contact: daniel davy ; 5960 heisley rd; mentor, OH 44060 ; 4403927453
• MDR Report Key: 20696548
• Report Number: 1527821-2024-00020
• Device Sequence Number: 19796137
• Product Code: JOL
• UDI-Device Identifier: 10885403138218
• UDI-Public: (01)10885403138218(10)A24XHE
• Combination Product (Y/N): N
• Initial Reporter State: PA
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: User Facility
• Initial Reporter Occupation: Nurse
• Type of Report: Initial,Followup
• Report Date (Section B): 11/15/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Model Number: U-0552
• Device Catalogue Number: U0552
• Device Lot Number: (10)A24XHE
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 10/18/2024
• Supplement Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 11/15/2024
• Supplement Report FDA Received Date: 03/19/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown