inforMED
OtherFII

DIALOG PLUS

Received Feb 29, 2008 · Event occurred Dec 18, 2007

Report 2523676-2008-00006 · MDR key 1006515

Device

Generic name

Hemodialysis System

Model number

NA

Catalog number

710500K

Lot number

30058

Product problems

  • Unknown (for use when the device problem is not known)

Patient

Not reported

  • Electric Shock

Narrative

Description of Event or Problem

AS REPORTED BY THE USER FACILITY: NURSE TOUCHED BACK OF MACHINE AND GOT A SHOCK. MACHINE WAS REMOVED FROM FLOOR FOR INSPECTION. ADDITIONAL INFO PROVIDED BY THE FACILITY INDICATED THAT THE SHOCK WAS BRIEF, NOT CONSTANT, AND WAS POSSIBLY RELATED TO STATIC.

Additional Manufacturer Narrative

A B. BRAUN CUSTOMER ENGINEER COMPLETED INSPECTION OF THE MACHINE INCLUDING GROUND AND ELECTRICAL CHECKS. ALL PARAMETERS WERE WITHIN SPECIFICATION. AN ELECTRICIAN INSPECTED THE ELECTRICAL OUTLET AND REPORTED THAT THERE WERE NO PROBLEMS. PROBLEM IS SUSPECTED TO BE RELATED TO A STATIC SHOCK SINCE THE SHOCK WAS BRIEF AND COULD NOT BE REPEATED. THE MACHINE WAS RETURNED TO SERVICE AFTER INSPECTION WAS COMPLETED, WITH NO FURTHER PROBLEMS.

Remedial action

  • Other