MAUDE Adverse Event Report: STERILMED, INC.; REPROCESSED INTRAVASCULAR ULTRASOUND CATHETER

Catalog Number	R10439236
Medical Device Problem Code	Contamination /Decontamination Problem (2895)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
The device has not yet been returned for analysis.This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by sterilmed inc., or its employees that the report constitutes an admission that the product, sterilmed inc., or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.Manufacturer's ref.No: (b)(4).
Event or Problem Description
It was reported that a patient underwent an atrial fibrillation (afib) ablation procedure with a reprocessed soundstar eco 8f diagnostic ultrasound catheter and prior to the procedure, when it was opened, there was a sticky substance on the end that connects into the machine.
Additional Manufacturer Narrative
It was reported that when the reprocessed soundstar eco 8f diagnostic ultrasound catheter for use on ge imaging system (r10439236/2226941) and prior to the procedure, when it was opened, there was a sticky substance on the end that connects into the machine.The device was returned to sterilmed for further evaluation on 2-apr-2025.A non-sterile reprocessed soundstar eco 8f diagnostic ultrasound catheter for use on ge imaging system was received contained in the decontamination bag.Upon receipt of the device, a visual inspection was performed and the serial number tag was not attached to the shaft of the catheter and a particle was found on the black part of the eco connector of the device.The physical mark on the device indicated that it had been reprocessed one (1) time.A fourier transform infrared spectroscopy (ft-ir) test was performed to determine the components of the particle.Overall, based on the ft-ir analysis performed on the foreign black material, the spectral data reveals strong similarities with polyester-type compounds, showing characteristic bands for aliphatic chains and ester functional groups.These findings suggest that the material is consistent with a synthetic polymer, a polyester resin, or a related derivative.Given its chemical profile, it is concluded that the foreign material may be a degraded polymer residue or contamination originating from a manufacturing process or environmental exposure involving polyester-based components.However, with the available information is not determinate the origin of the unknown material.A device history record (dhr) was performed, and no internal actions were identified.The issue reported regarding a sticky substance on the connector of the device was confirmed based on the particle found on the eco connector.It should be noted that devices undergo 100% inspection at different points during the manufacturing process to prevent defective devices from leaving the facility; therefore, this issue is being addressed through sterilmed¿s quality system and actions are being taken on the supplier¿s side.If additional information is received regarding this event, a supplemental 3500a report will be submitted to the fda.Manufacturer's ref.No: (b)(4).

• Brand Name: NA
• Common Device Name: REPROCESSED INTRAVASCULAR ULTRASOUND CATHETER
• Manufacturer (Section D): STERILMED, INC.; 5010 cheshire parkway; ste 2; plymouth MN 55446
• Manufacturer (Section G): STERILMED, INC.; 5010 cheshire parkway; ste 2; plymouth MN 55446
• Manufacturer Contact: kate karberg ; 31 technology dr; irvine, CA 92618 ; 3035526892
• MDR Report Key: 21653717
• Report Number: 2134070-2025-00004
• Device Sequence Number: 20689049
• Product Code: OWQ
• UDI-Device Identifier: 10888551045094
• UDI-Public: (01)10888551045094(17)251205(10)2226941
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: K161700
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup

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
• Operator of Device: Health Professional
• Device Expiration Date: 12/05/2025
• Device Catalogue Number: R10439236
• Device Lot Number: 2226941
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/28/2025
• Supplement Date Received by Manufacturer: 04/02/2025
• Initial Report FDA Received Date: 03/20/2025
• Supplement Report FDA Received Date: 04/29/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 12/05/2024
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): Yes
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown