inforMED
MalfunctionMSE

F6 DIALYZER FINISHED ASSY (CASE)

Received Sep 29, 2010 · Event occurred Aug 10, 2010

Report 1713747-2010-00036 · MDR key 1865259

Device

Generic name

Dialyzer

Manufacturer

Odgen Mfg.

Model number

NA

Catalog number

0500145A

Lot number

10AU03015

Product problems

  • Leak/Splash

Patient

NA

  • Blood Loss

Narrative

Description of Event or Problem

WE HAVE RECEIVED A REPORT INDICATING THAT A HOME HEMODIALYSIS PT HAD "BLOOD LEAK" DURING TREATMENT. IT WAS VERIFIED BY THE PT'S MOTHER THAT THERE WAS AN INTERNAL BLOOD LEAK THAT OCCURRED. AT THAT TIME, NO ADD'L INFO WAS PROVIDED ON THE EVENT. HOWEVER, AFTER SPEAKING WITH THE RN ON (B)(6) 2010 IT WAS LEARNED THAT THE PT IS A (B)(6) MEDICALLY FRAGILE PT. CURRENTLY THIS PT CONTINUES HEMODIALYSIS WITH THE USE OF THIS PRODUCT. SAMPLES ARE AVAILABLE FOR AN EVAL.

Additional Manufacturer Narrative

ADD'L INFO REGARDING THE EVENT WAS RECEIVED ON (B)(4) 2010.