BEUDAMED
    FDA Adverse Event Other Summary report: N

    SANDHILL PRESSURE CAL TUBE

    MDR report key: 519027 · Received April 2, 2004

    Report

    Report Number
    2023374-2004-00001
    Event Type
    Other
    Date Received
    April 2, 2004
    Date of Event
    March 26, 2004
    Report Date
    April 1, 2004
    Manufacturer
    SANDHILL SCIENTIFIC
    Product Code
    BXY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    OPERATOR USED O2 UNDER PRESSURE TO DRY THE INSIDE OF THE CAL TUBE. WHEN THE O2 TUBING WAS PLACED INTO THE TUBE, THE EXIT HOLE OF THE DEVICE WAS OCCLUDED. THIS CAUSED OVER PRESSURE OF THE CALIBRATION TUBE. AS A RESULT, THE END OF THE CAL TUBE SEPARATED FROM CYCLINDER. THIS FLEW THROUGH THE AIR STRIKING THE OPERATOR IN THE FACE, BROKE THEIR GLASSES AND KNOCKED THEM TO THE FLOOR. CAL TUBE IS NOT DESIGNED FOR THIS TYPE OF CLEANING PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SANDHILL PRESSURE CAL TUBE PART NUMBER S90-5119 BXY SANDHILL SCIENTIFIC S90-5119 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other