inforMED
MalfunctionFII

*

Received Dec 12, 2009 · Event occurred Sep 12, 2009

Report 1562059 · MDR key 1562059

Device

Generic name

Hemodialysis Machine, Continuous Renal Replacement Therapy

Model number

PRISMAFLEX

Catalog number

*

Lot number

*

Product problems

  • Device Displays Incorrect Message

Patient

65 YR

  • No Information

Narrative

Description of Event or Problem

DURING THE EVENING THE PRISMAFLEX CONTINUOUS RENAL REPLACEMENT THERAPY (CRRT) MACHINE WENT DOWN WITH REPORTED ERROR OF "MALFUNCTION: BLOOD PUMP - INCORRECT RATE". FOLLOWING RETURN FROM CT, MACHINE HAD BEEN IN RECIRCULATING MODE. AN ATTEMPT WAS MADE TO REPRIME MACHINE AS DIRECTED BY MACHINE TO RESUME THERAPY, AT WHICH POINT ERROR OCCURRED, THUS REQUIRING THE SET UP OF AN ADDITIONAL CIRCUIT.