inforMED
MalfunctionFIP

ULTRAFILTER HECHINGEN

Received Nov 20, 2024 · Event occurred Oct 16, 2024

Report 9611369-2024-00211 · MDR key 20738113

Device

Generic name

Subsystem, Water Purification

Model number

NA

Catalog number

114604

Lot number

3-1801-H-01

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

65 YR · Female

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

Narrative

Additional Manufacturer Narrative

E1: INITIAL REPORTER ADDRESS: (B)(6). A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THIS LOT. THE DEVICE WAS NOT RECEIVED FOR EVALUATION; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT AN EXTERNAL FLUID LEAK WAS OBSERVED FROM A U9000 ULTRAFILTER DURING HEMODIALYSIS THERAPY. A "LARGE POOL OF WATER" WAS DISCOVERED AT THE BASE OF THE AK96 MACHINE. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.