BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HANKISON

    MDR report key: 83217 · Received February 12, 1997

    Report

    Report Number
    83217
    Event Type
    Injury
    Date Received
    February 12, 1997
    Date of Event
    July 15, 1996
    Report Date
    July 25, 1996
    Manufacturer
    HANKINSON
    Product Code
    BTI
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WATER DISCOVERED IN MEDICAL AIR LINE OUTLET WHEN VENTILATOR ALARMED. THERE WAS NO APPARENT INJURY TO VENTILATOR DEPENDENT PT'S BECAUSE ALL WERE IMMEDIATELY SWITCHED TO INDEPENDENT AIR SUPPLY SYSTEMS. FURTHER INVESTIGATION FOUND THAT A BLOW DOWN VALVE ON THE IN LINE REFRIGERATED AIR DRYER HAD MALFUNCTIONED ALLOWING A BUILD UP OF WATER IN THE LINE. FAILURE TO FOLLOW UP ON THE REPAIR OF A MALFUNCTIONING DEWPOINT MONITOR ALARM ALSO CONTRIBUTED TO THE EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HANKISON REFRIGERATED COMPRESSED AIR DRYER BTI HANKINSON 80200 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention FILTER UNITS-HANKISON 1 MICRON MOD T400-16M-5L| SN 1317-5-9506-113,| MODEL DPS-100 SN 0103, SENSOR SN196| COMPRESSORS-PUMP SKID-2 NASH MOD OC6B,| SN 9205,| COMPRESSORS-SKID SN 3-7691,| HANKINSON 0.1 MICRON MOD A550-24-8G