inforMED
MalfunctionFKB

DIAL MEDICAL SUPPLY

Received Jan 24, 1995 · Event occurred Dec 5, 1994

Report 1051129-1994-00015 · MDR key 21109

Device

Generic name

Hemodialysis Blood Tubing

Model number

NA

Catalog number

B4-310

Lot number

A4F08

Product problems

  • Loose or Intermittent Connection

Patient

57 YR

  • Hemodialysis

Narrative

Description of Event or Problem

ONE HR INTO PT'S HEMODIALYSIS TREATMENT, TUBING BEGAN TO HAVE AIR IN SYSTEM-ESPECIALLY ARTERIAL CHAMBER. UPON CLOSEER INSPECTION, END-USER NOTICED AIR COMING INTO TUBING SYSTEM AT CONNECTION ON ARTERIAL TUBINGWHERE THE BLOOD PUMP ROTATES. CONNECTION "CAME-APART" AND WAS ALLOWING AIR TO ENTER. ARTERIAL SIDE OF TUBING WAS CHANGED. T EXPERIENCED NO ADVERSE EVENT.