BEUDAMED
    FDA Adverse Event Other Summary report: N

    PORTEX

    MDR report key: 315213 · Received February 8, 2001

    Report

    Report Number
    315213
    Event Type
    Other
    Date Received
    February 8, 2001
    Date of Event
    January 10, 2001
    Report Date
    January 15, 2001
    Manufacturer
    SIMS
    Product Code
    CBT
    Report Source
    User Facility report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ARTERIAL BLOOD GAS OBTAINED VIA ART LINE. AIR FILTER PLACED ON SYRINGE TO EXPRESS AIR OUT. NO FILTER ON TOP OF EQUIPMENT-BLOOD SPRAYED OUT ON NURSE'S FACE, HAIR, CLOTHES. SECURITY CALLED FOR EXPOSIVE INCIDENT REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    4615 PORTEX ARTERIAL BLOOD SAMPLE SYRINGE CBT SIMS * 011371

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Other