BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DISSQUICK CONNECT

    MDR report key: 537838 · Received March 22, 2004

    Report

    Report Number
    1713468-2004-00012
    Event Type
    Malfunction
    Date Received
    March 22, 2004
    Date of Event
    January 30, 2004
    Report Date
    February 27, 2004
    Manufacturer
    ABBOTT LABS
    Product Code
    LRQ
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    REPORT RECEIVED OF A SPLASH OF CONTAMINATED SUCTION LINER CONTENTS. REPORTEDLY, NASOGASTRIC SUCTION WAS SET UP FOR A PT WHO WAS EXSANGUINATING FROM AN UPPER GI BLEED; NO SHUT-OFF VALVE WAS USED. THE LINER OVERFILLED. THE NURSE TURNED OFF THE VACUUM, AND THE NURSE WAS SPRAYED WITH SECRETIONS FROM THE PT PORT WHEN NURSE WENT TO REMOVE THE LINER. THE SPRAY LANDED ON THEIR CLOTHING, SHOES, AND ARM. THEY WASHED THEIR ARMS AND CHANGED THEIR CLOTHING. NO PROPHYLACTIC MEDICATIONS WERE GIVEN OR BASELINE LAB TESTS WERE DONE. THERE WERE NO REPORTED ADVERSE EFFECTS AND NO MEDICAL INTERVENTIONS WERE REQUIRED. THOUGH REQUESTED, NO ADDITIONAL INFORMATION WAS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DISSQUICK CONNECT SUCTION LINER LRQ ABBOTT LABS NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other