inforMED
MalfunctionFII

GAMBRO DIALYSIS MACHINE

Received May 12, 2008 · Event occurred May 7, 2007

Report 1055944 · MDR key 1055944

Device

Generic name

Hemodialysis System

Model number

PHOENIX

Catalog number

*

Lot number

*

Product problems

  • Alarm, audible

Patient

19 YR

  • Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

THE MACHINE HAD TWO ALARMS; THE PROTECTIVE CARD COMMUNICATION TIMEOUT ALARM AND THE BLOOD CARD COMMUNICATION TIMEOUT. THESE ALARMS WERE FOLLOWED BY A GENERAL SAFE STATE ALARM THAT WOULD ONLY ALLOW THE OPERATOR TO POWER THE MACHINE DOWN AND RESTART THE TREATMENT. AFTER THE PROCEDURE WAS RESTARTED, THE DIALYSIS MACHINE AGAIN EXPERIENCED THE SAME ALARM SEQUENCE.