inforMED
MalfunctionFII

*

Received Dec 13, 2009 · Event occurred Nov 20, 2009

Report 1560544 · MDR key 1560544

Device

Generic name

Effluent Bag, Drainage

Model number

*

Catalog number

6033765

Lot number

0923

Product problems

  • Burst Container or Vessel
  • Fluid/Blood Leak

Patient

31 YR

  • No Information

Narrative

Description of Event or Problem

CONTINUOUS RENAL REPLACEMENT THERAPY (CRRT) DRAIN BAG BURST OPEN IN CENTER AT SITE OF "BUTTON". APPROXIMATELY, EIGHT LITERS OF ULTRAFILTRATE EXPLODED ON THE FLOOR AND EQUIPMENT. NO MALFUNCTION OF EQUIPMENT OCCURRED. DRAIN BAG WAS REPLACED AND CRRT CONTINUED TO RUN.