inforMED
InjuryFII

PHOENIX

Received Mar 14, 2008 · Event occurred Feb 11, 2008

Report 2087532-2008-00028 · MDR key 1015166

Device

Generic name

Hemodialysis Equipment

Manufacturer

Gambro Dasco

Model number

PHOENIX

Catalog number

6023006700

Lot number

NA

Product problems

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

Patient

77 YR

  • Low Blood Pressure/ Hypotension
  • Sepsis
  • Loss of consciousness
  • Therapy/non-surgical treatment, aborted/stopped
  • Treatment with medication(s)
  • Hospitalization required

Narrative

Description of Event or Problem

A CLINIC REPORTED THAT PRIOR TO INITIATING TREATMENT A PT WAS UNUSUALLY HYPERTENSIVE AND BECAME UNRESPONSIVE ONE HOUR AND TWENTY MINUTES INTO TREATMENT. TREATMENT WAS TERMINATED, SALINE WAS ADMINISTERED AND THE PT WAS TRANSPORTED TO THE HOSP WHERE SHE SUFFERED A CARDIAC ARREST. FOLLOWING THE HOSPITALIZATION, THE PT WAS DISCHARGED HOME AND RETURNED TO OUTPATIENT DIALYSIS TREATMENT. THE MACHINE WAS RETURNED TO SERVICE FOLLOWING INSPECTION BY A GAMBRO GTS REPRESENTATIVE.