BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BARD

    MDR report key: 144560 · Received January 16, 1998

    Report

    Report Number
    144560
    Event Type
    Injury
    Date Received
    January 16, 1998
    Date of Event
    December 8, 1997
    Report Date
    December 10, 1997
    Manufacturer
    C.R. BARD, INC.
    Product Code
    MNJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NM, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE VALVE ON ONE OF THE PUMP LINES WAS NOT FUNCTIONING, AS A RESULT SOME AIR ENTERED THE PT. SUCTION WAS SWITCHED TO A DIFFERENT LINE. APPROPRIATE DE-AIRING PROCEDURES WERE CARRIED OUT. PT DOING WELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BARD ONE WAY VALVE - OVERPRESSURE SAFETY VALVE MNJ C.R. BARD, INC. WILLIAM HARVEY H-130 43H9V106

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Required Intervention