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Eliminating the Risk of Inadvertent Connection to Medical Air via a Flowmeter (ICN 1301)

Important Customer Notice Patient Safety Alert

Ref: 2021/1301 ICN Number: 1301


  • A National Patient Safety Alert has been issued due to the proximity of the piped medical air and oxygen outlets at the bedside, and the similarity in design of flowmeters, there is a significant risk when using air flowmeters that patients may be inadvertently connected to medical air instead of oxygen.


  • The alert asks providers to purchase alternative devices that do not require medical air to be delivered via an air flowmeter.
  • Following this, all medical air flowmeters except those tethered to equipment for niche use should be discarded, and all medical air outlets no longer required should be reversibly capped off.

Products Affected:

  • Please see our Downloads ▼ section to refer to the product matrix for details of potential alternative devices.

If you have any further questions, please contact your local NHS Supply Chain Customer Relationship Manager or Customer Services Advisor.

Downloads ▼

  • 1301 National Patient Safety Alert

    A PDF of the National Patient Safety Alert for ICN 1301.
  • 1301 Nebuliser Matrix

    An Excel file detailing the Product Matrix for ICN 1301.
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