| Brand Name | AMSCO |
| Common Device Name | AMSCO 400 STEAM STERILIZER |
| Manufacturer (Section D) |
| STERIS MEXICO, S. DE R.L. DE C.V. |
| avenida avante 790 |
| parque industrial guadalupe |
| guadalupe, 67190 |
| MX 67190 |
|
| Manufacturer (Section G) |
| STERIS MEXICO, S. DE R.L. DE C.V. |
| avenida avante 790 |
| parque industrial guadalupe |
| guadalupe, 67190 |
|
MX
67190
|
|
| Manufacturer Contact |
|
daniel
davy
|
| 5960 heisley road |
| mentor, OH 44060
|
|
4402597401
|
|
| MDR Report Key | 25802367 |
| Report Number | 3005899764-2026-00047 |
| Device Sequence Number | 20296536 |
| Product Code |
FLE
|
| UDI-Device Identifier | 00724995209445 |
| UDI-Public | (01)00724995209445(11)241003 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TX |
| Initial Reporter Country | US |
| PMA/510(K) Number | K212424 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/13/2026 |
| 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 Model Number | AMSCO 400 STEAM STERILIZER |
| Device Catalogue Number | SR0201110311 |
| 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 | 06/13/2026 |
| Initial Report FDA Received Date | 07/13/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/03/2024 |
| 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 |