InjuryFII
PHOENIX
Received Oct 30, 2008 · Event occurred Aug 1, 2008
Report 2087532-2008-00099 · MDR key 1309603
Device
Generic name
Hemodialysis Equipment
Manufacturer
Gambro DascoModel number
PHOENIXCatalog number
6023006700
Lot number
NA
Product problems
- Fluid/Blood Leak
- Output, low
Patient
29 YR
- Nausea
- Vomiting
- Abdominal Cramps
- Treatment with medication(s)
Narrative
Description of Event or Problem
A PT EXHIBITED SYMPTOMS OF EXCESSIVE WEIGHT REMOVAL WHILE SHE WAS UNDERGOING A ROUTINE DIALYSIS TREATMENT ON A PHOENIX MACHINE. PT REC'D IV FLUIDS IN THE EMERGENCY DEPARTMENT AND WAS DISCHARGED HOME. THE PHOENIX MACHINE WAS PULLED FROM SVC FOR INSPECTION. THE FACILITY'S BIOMED TECH INSPECTED THE MACHINE. A LEAK WAS FOUND IN A SILICONE "L" CONNECTOR AT A PRESSURE TRANSDUCER. THE PRESSURE TRANSDUCER WAS ALSO FOUND TO BE WET AND NOT FUNCTIONAL. BOTH COMPONENTS WERE REPLACED.