BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PORTABLE SPHYGOMANOMETER

    MDR report key: 28130 · Received November 6, 1995

    Report

    Report Number
    28130
    Event Type
    Malfunction
    Date Received
    November 6, 1995
    Date of Event
    November 1, 1995
    Report Date
    November 6, 1995
    Manufacturer
    W.A. BAUM CO., INC.
    Product Code
    DXN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    EITHER A PT OR EMPLOYEE PULLED THE RING PLUG UP AT THE TOP OF THE GLASS TUBE WHERE THE MERCURY STORED ON THE PORTABLE SPHYGMOMANOMETER. MERCURY SPILLED ON THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PORTABLE SPHYGOMANOMETER BLOOD PRESSURE MONITOR DXN W.A. BAUM CO., INC. UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 *