BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MERCURY MEDICAL

    MDR report key: 302920 · Received October 24, 2000

    Report

    Report Number
    302920
    Event Type
    Injury
    Date Received
    October 24, 2000
    Date of Event
    October 16, 2000
    Manufacturer
    MERCURY MEDICAL
    Product Code
    BTM
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    VICTIM OF TRAUMA WAS INTUBATED AND RESPIRATIONS ASSISTED WITH RESUSCITATION BAG. OXYGEN TUBING WAS INADVERTANTLY CONNECTED TO MANOMETER PORT OR NIPPLE RATHER THAN BEING CONNECTED TO OXYGEN PORT AT BOTTOM OF THE BAG. THIS CREATED A SITUATION OF INABILITY TO EXHALE THE OXYGEN DELIVERED UNLESS BAG WAS DEPRESSED.

    Description of Event or Problem · 1

    VICTIM OF TRAUMA WAS INTUBATED AND RESPIRATIONS ASSISTED WITH RESUSCITATION BAG. OXYGEN TUBING WAS INADVERTENTLY CONNECTED TO MANOMETER PORT OR NIPPLE RATHER THAN BEING CONNECTED TO OXYGEN PORT AT BOTTOM OF THE BAG. THIS CREATED A SITUATION OF INABILITY TO EXHALE THE OXYGEN DELIVERED UNLESS BAG WAS DEPRESSED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MERCURY MEDICAL CPR BAG BTM MERCURY MEDICAL * *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Required Intervention