InjuryFIB
TRANSDUCER PROTECTOR
Received Apr 3, 1995 · Event occurred Mar 16, 1995
Report 2243621-1995-00264 · MDR key 21860
Device
Patient
*
- Hemodialysis
Narrative
Description of Event or Problem
TRANSDUCER PROTECTOR LEAKED, CAUSING A BACKUP OF BLOOD THAT FILLED THE TRANSDUCER LINE AND SATURATED THE TRANSDUCER. RN REPORTS THEY WERE UNABLE TO LOWER THE DRIP CHAMBER LEVEL AND START THE BLOOD PUMP. THE PT'S DIALYZER CLOTTED; TREATMENT STOPPED AND RESTARTED WITH DIALYZER AND LINES.