FDA Adverse Event
Malfunction
Summary report: N
PRO-NOX
MDR report key: 8964424
·
Received September 5, 2019
Report
- Report Number
- 8964424
- Event Type
- Malfunction
- Date Received
- September 5, 2019
- Date of Event
- August 9, 2019
- Report Date
- August 20, 2019
- Manufacturer
- CARESTREAM MEDICAL INTERNATIONAL LTD
- Product Code
- BZR
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
RECENT INSTITUTION OF THE USE OF NITROUS OXIDE (NO) FOR LABORING MOTHERS WAS FOLLOWED BY BADGE TESTING TO MEASURE THE AMOUNTS OF NO IN 2 AREAS ON THE PATIENT ROOM AND THE EXPOSURE TO THE NURSE ATTENDING TO THE PATIENT. AN INDEPENDENT REPORT WAS RECEIVED INDICATING THAT 7 OF 18 READINGS EXCEEDED NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH (NIOSH) RECOMMENDATIONS OF 25PPM OF NO OVER THE DURATION OF THE EXPOSURE. THE PROGRAM WAS SUSPENDED THE FOLLOWING DAY. IT IS NOT CURRENTLY KNOWN IF THE EQUIPMENT USED CONTRIBUTED TO THESE EXPOSURES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 760872 | PRO-NOX | MIXER, BREATHING GASES, ANESTHESIA INHALATION | BZR | CARESTREAM MEDICAL INTERNATIONAL LTD | CMI-0100-PNX-HS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |