inforMED
MalfunctionFII

PHOENIX

Received Jun 17, 2008 · Event occurred Oct 15, 2007

Report 1064844 · MDR key 1064844

Device

Generic name

Hemodialysis Machine

Model number

PHOENIX

Catalog number

*

Lot number

*

Product problems

  • Alarm, audible
  • Calibration Error
  • Conductivity
  • Replace

Patient

18 YR

  • Therapy/non-surgical treatment, aborted/stopped

Narrative

Description of Event or Problem

SUCCESSIVE BICARB ALARM IN THE PHOENIX MACHINE #12, WHILE PATIENT WAS IN DIALYSIS, WHICH RESULTED IN CONDUCTIVITY PROBLEMS AND CAUSED PATIENT TO LOSE DIALYSIS TIME. TREATMENT RESUMED WITH ANOTHER MACHINE.