InjuryFAT
HURST ESOPHAGEAL BOUGIE DILATOR
Received Nov 19, 2012 · Event occurred Nov 1, 2012
Report 2858925 · MDR key 2858925
Device
Generic name
Bougie Dilator-mercury Filled
Manufacturer
V. MuellerModel number
#34FRCatalog number
NA
Lot number
NA
Product problems
- Leak/Splash
- Material Puncture/Hole
- Chemical Spillage
Patient
42 YR
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
PT HAD ELECTIVE BARIATRIC PROCEDURE IN OPERATING ROOM. ESOPHAGEAL DILATOR LEAKED MEMORY INTO PT AND OPERATING ROOM ENVIRONMENT, THUS CONTAMINATING PT, STAFF AND ROOM. ACTIONS WERE PERFORMED TO PREVENT HARM AND REDUCE EXPOSURE TO STAFF, PT, AND PHYSICIANS.