inforMED
InjuryBXO

UNIFLOW

Received May 22, 1992 · Event occurred May 5, 1992

Report 602 · MDR key 602

Device

Generic name

Disposable Pressure Tranducers

Manufacturer

Baxter

Model number

43-12N

Lot number

2B0183-SJ2B2748

Patient

0 MO

Narrative

Description of Event or Problem

THE PLASTIC LOCK ON THE TRANSDUCER FRACTURED/LEAKED AND THE PUMP FILLED THE BED WITH BLOOD. THE PATIENT HAD TO BE TRANSFUSEDDEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: . SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: VISUAL EXAMINATION. RESULTS OF EVALUATION: COMPONENT FAILURE, TELEMETRY FAILURE. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.