MalfunctionFII
CRRT
Received May 22, 2010 · Event occurred Feb 16, 2010
Report 1730633 · MDR key 1730633
Device
Product problems
- Device Alarm System
- Device Displays Incorrect Message
- Device Contamination with Chemical or Other Material
Patient
*
- No Information
Narrative
Description of Event or Problem
CONTINUOUS RENAL REPLACEMENT THERAPY (CRRT) WAS IN RECIRC MODE. THE MACHINE ALARMED AIR IN LINE. THERE WAS NO AIR PRESENT BUT THERE WAS OBVIOUS SEDIMENT PRESENT. A HAND CRANK WAS USED TO MOVE THE SEDIMENT PAST THE AIR LEAK DETECTOR AND THEN THE MACHINE WENT INTO "GENERAL SYSTEM FAILURE." THE CIRCUIT WAS TAKEN DOWN, DATA WAS DOWNLOADED AND A NEW CIRCUIT WAS PLACED.