inforMED
MalfunctionFIP

ULTRAFILTER HECHINGEN

Received Aug 28, 2025 · Event occurred Aug 5, 2025

Report 9611369-2025-00135 · MDR key 22917350

Device

Generic name

Subsystem, Water Purification

Model number

NA

Catalog number

955858

Lot number

4-2150-H-01

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

78 YR · Male

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

Narrative

Additional Manufacturer Narrative

ADDITIONAL INFORMATION: H6, H11. H11: 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.

Additional Manufacturer Narrative

E1: INITIAL REPORTER ADDRESS:(B)(6). E1: INITIAL REPORTER CITY: (B)(6). SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT A HEMODIALYSIS MACHINE ALARMED FOR LEAKAGE FROM THE ULTRAFILTER U9000 DURING THE DISINFECTION PROCESS. THE MACHINE WAS REPLACED TO CONTINUE TREATMENT. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE