inforMED

ALTHIN

Received Aug 11, 1994 · Event occurred Jul 22, 1994

Report 2243621-1994-00294 · MDR key 19249

Device

Generic name

Din Adapter

Catalog number

J5 92128

Product problems

  • Loose or Intermittent Connection

Patient

54 YR

  • Hemodialysis

Narrative

Description of Event or Problem

FACILITE ALLEGES ARTERIAL BLOOD LINE CAME LOOSE FROM ADAPTER DURING DIALYSIS, RESULTING IN BLOOD SPILLAGE OF > 100CC. BLOOD CIRCUIT DISCARDED; PT RESTARTED ON NEW DIALYZER WITHOUT INCIDENT. GIVEN REPLACEMENT VOLUME OF 200 CC N.G. NO FURTHEER MEDICAL INTERVENTION REQUIRED.