inforMED
DeathFII

GAMBRO RENAL DIALYSIS MACHINE AND TUBING

Received Nov 18, 2008 · Event occurred Nov 10, 2008

Report 1237828 · MDR key 1237828

Device

Generic name

Dialysis Machine And Tubing

Manufacturer

Gambro Renal

Model number

PHOENIX

Product problems

  • Alarm, failure of warning
  • Disconnection

Patient

56 YR

  • Bleeding
  • Cardiac Arrest

Narrative

Description of Event or Problem

PT RECEIVING HEMODIALYSIS. MACHINE ALARMED. PT FOUND BRADYCARDIAC THEN BECAME UNRESPONSIVE. BLOOD NOTED ON FLOOR. CODE BLUE CALLED. PT EXPIRED.