BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAUMANOMETER

    MDR report key: 130063 · Received October 31, 1997

    Report

    Report Number
    130063
    Event Type
    Injury
    Date Received
    October 31, 1997
    Date of Event
    October 9, 1997
    Report Date
    October 13, 1997
    Manufacturer
    WA BAUM CO INC
    Product Code
    DXN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    NURSE ASSISTANT NOTICED MERCURY ON FLOOR OF EXAM ROOM (#4) IN THE CLINIC WHILE PLACING A PT. SHE IMMEDIATELY MOVED PT TO ANOTHER ROOM & CLOSED THE DOOR. SPILL SITE MONITORED (DIRECT READING) PRIOR TO CLINIC OPENING UP. BAUMANOMETER BRAND MANOMETER HAS OBSERVED TO BE LEAKING FROM BASE OF GLASS CYLINDER. RETENTION LEVER IN PLACE. THEREFORE DEFECTIVE SEAL BASE ALLOWED MERCURY TO LEAK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAUMANOMETER SPHYGMOMANOMETER DXN WA BAUM CO INC 850 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention