InjuryFII
PHOENIX
Received Sep 4, 2008 · Event occurred Jul 23, 2008
Report 2087532-2008-00089 · MDR key 1150205
Device
Generic name
Hemodialysis Equipment
Manufacturer
Gambro DascoModel number
PHOENIXCatalog number
6023006700
Lot number
NA
Product problems
- Air Leak
- Alarm, audible
Patient
UNKNOWN
- Low Blood Pressure/ Hypotension
- Therapy/non-surgical treatment, additional
- Treatment with medication(s)
Narrative
Description of Event or Problem
THE CUSTOMER REPORTED A PT WAS UNDERGOING HEMODIALYSIS ON A PHOENIX MACHINE WHEN AN "AIR IN BLOOD" ALARM WAS GENERATED. FOAM WAS OBSERVED IN THE TUBING AT HUB OF THE VENOUS NEEDLE. THE PT WAS HYPOTENSIVE, PLACED IN TRENDELENBURG, POSITIONED ON THEIR LEFT SIDE, OXYGEN WAS ADMINISTERED AND A BOLUS OF NORMAL SALINE WAS GIVEN. THE PT CONTINUED THEIR PRESCRIBED TREATMENT ON ANOTHER PHOENIX MACHINE. A GAMBRO TECHNICAL SVC REP INSPECTED THE PHOENIX MACHINE.