inforMED
MalfunctionFII

PRISMASATE DIALYSIS SOLUTION FOR CONTINUOUS RENAL REPLACEMENT THERAPY 5000ML BAG

Received Dec 2, 2009 · Event occurred Dec 2, 2009

Report MW5014012 · MDR key 1562922

Device

Generic name

Cvvh Bags

Manufacturer

Gambro

Model number

BGK 2/0

Catalog number

6054352

Lot number

P9G304

Product problems

  • Fluid/Blood Leak
  • Material Separation
  • Split
  • Contamination of Device Ingredient or Reagent
  • Material Integrity Problem

Patient

Not reported

  • No Information

Narrative

Description of Event or Problem

PRISMASATE DIALYSIS SOLUTION FOR CONTINUOUS RENAL REPLACEMENT THERAPY TWO COMPARTMENT BAG SEPARATED BY A PEEL SEAL. (BGK 2/0) 5000 ML BAG. LOT # P9G304, EXP DATE: 01/2011. WHEN ATTEMPTING TO MIX THE PRODUCT CONTENTS, THE PEEL SEAL SPLIT OPEN, RESULTING IN THE PRODUCT CONTENTS POURING OUT OF THE BAGS. WE HAVE ALSO BEEN EXPERIENCING BAG LEAKAGE WITH THESE PRODUCTS. WE DO NOT HAVE THE LOT NUMBER OR EXP DATE FOR THOSE BAGS. CONCERN ABOUT PRODUCT CONTENT INTEGRITY/CONTAMINATION WITH THE LEAKING BAGS. DOSE OR AMOUNT: 3000 ML; FREQUENCY: PER HOUR; ROUTE: IV. DATES OF USE: 2009. DIAGNOSIS OR REASON FOR USE: CONTINUOUS RENAL REPLACEMENT THERAPY.