MAUDE Adverse Event Report: STERIS Corporation RELIANCE; Olympus Bronchoscope Tubing Set

Model Number	Reliance 6500 Connectors
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	06/26/2026
Type of Reportable Event	Malfunction

• Brand Name: RELIANCE
• Common Device Name: Olympus Bronchoscope Tubing Set
• Manufacturer (Section D): STERIS Corporation; 6515 hopkins rd; mentor OH 44060
• Manufacturer (Section G): STERIS Corporation; 6515 hopkins rd; mentor OH 44060
• Manufacturer Contact: daniel davy ; 5960 heisley road; mentor, OH 44060 ; +1(440)259-7401
• MDR Report Key: 50452068
• Report Number: 3000251274-2026-00003
• Device Sequence Number: 21291498
• Product Code: PUP
• UDI-Device Identifier: 00724995229696
• UDI-Public: (01)00724995229696(10)20260428
• Combination Product (Y/N): N
• Initial Reporter State: TN
• Initial Reporter Country: US
• 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): 08/26/2026

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: Reliance 6500 Connectors
• Device Catalogue Number: RELTSO100BRONCH
• Device Lot Number: (10)20260428
• 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: 06/26/2026
• Initial Report FDA Received Date: 08/26/2026
• 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