inforMED
InjuryFKB

CD

Received Oct 18, 1994 · Event occurred Jul 30, 1994

Report 2243621-1994-00424 · MDR key 20350

Device

Generic name

Blood Port Adapter

Manufacturer

Althin Medical

Lot number

C188

Product problems

  • Loose or Intermittent Connection

Patient

*

  • Hemodialysis

Narrative

Description of Event or Problem

FACILITY ALLEGES SPONTANEOUS DISCONNECTION OF BLOOD LINDURING REUSE. CHIEF TECH REPORTS ARTERIAL LINE BLOW OFF DURING TREATMENT. ESTIMATED ED BLOOD LOSS 400 CC. NO PATIENT INJURY ORTED.