inforMED
InjuryKDI

PRIMAX THERMAX BLOOD WARMER

Received Mar 5, 2026 · Event occurred Feb 16, 2026

Report MW5184793 · MDR key 24521345

Device

Generic name

Dialyzer, High Permeability With Or Without Sealed Dialysate System

Catalog number

955724

Patient

NA · Male

  • Hypothermia
  • Renal Impairment
  • Alteration in Body Temperature

Narrative

Description of Event or Problem

PATIENT WAS PLACED ON PRISMAX FOR CRRT, AND THE THERMAX BLOOD WARMER STOPPED WORKING. PATIENT BECAME HYPOTHERMIC TO 35.5 DEGREES CELSIUS. HE WAS PLACED ON A WARMING BLANKET AND TEMPERATURE SLOWLY IMPROVED, HOWEVER PATIENT IS NOT TOLERATING HIS DIALYSIS BECAUSE THE THERMAX IS BROKEN ON THIS MACHINE. PATIENT AT RISK FOR LOSING BLOOD IF HE NEEDS TAKEN OFF HIS CRRT EARLY DUE TO THERMAX MALFUNCTION.