BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDICAL GAS SUPPLY OUTLET

    MDR report key: 1234564 · Received November 14, 2008

    Report

    Report Number
    MW5009016
    Event Type
    Injury
    Date Received
    November 14, 2008
    Date of Event
    October 9, 2008
    Report Date
    November 14, 2008
    Manufacturer
    ALLIED HEALTH PRODUCTS, INC.
    Product Code
    ECX
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NITRIC OXIDE HOSE WAS PLUGGED INTO CARBON DIOXIDE OUTLET. PT WAS VENTILATED WITH CO2 INSTEAD OF NITRIC OXIDE. ANESTHESIOLOGIST NOTED THAT PT'S CO2 LEVEL WAS 103. AT THAT TIME, THE MD NOTICED THE MIS-CONNECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDICAL GAS SUPPLY OUTLET ECX ALLIED HEALTH PRODUCTS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR Disability