inforMED
MalfunctionFKQ

CENTRISOL ACID CONCENTRATE

Received Oct 18, 2024

Report 2150060-2024-00055 · MDR key 20480232

Device

Generic name

Centrisol Acid Concentrate

Manufacturer

Medivators Inc.

Model number

SB-352

Lot number

(10)591951

Product problems

  • No Apparent Adverse Event
  • No Apparent Adverse Event

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

STERIS IS NOT THE MANUFACTURER OF THE CENTRISOL ACID CONCENTRATE SUBJECT OF THE REPORTED EVENT. STERIS HAS NOTIFIED THE MANUFACTURER, ROCKWELL MEDICAL, OF THE REPORTED EVENT TO INTERNALLY INVESTIGATE AND EVALUATE FOR REPORTABILITY. STERIS IS SUBMITTING THIS REPORT SOLELY IN RESPONSE TO THE RECEIVED MEDWATCH. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.

Description of Event or Problem

THE USER FACILITY REPORTED VIA MEDWATCH MW5159069 THAT "CONCERN ABOUT LOOK ALIKE LABELS FOR DIALYSIS ACID SOLUTIONS FROM OUTSET MEDICAL. THE 2K AND 3K ACID BATHS HAVE THE SAME WHITE WRITING ON OTHERWISE IDENTICAL RED BACKGROUND LABELS. IT WOULD BE EASY TO MIX UP THE SOLUTIONS DURING STORAGE AND CREATE A POSSIBLE ERROR." NO REPORT OF INJURY.