MalfunctionMQS
CRRT
Received Apr 18, 2012 · Event occurred Dec 28, 2011
Report 2564969 · MDR key 2564969
Device
Generic name
Crrt
Manufacturer
Gambro Renal Products Inc.Model number
PRISMAFLEXCatalog number
*
Lot number
*
Product problems
- Device Displays Incorrect Message
Patient
37 YR
- Blood Loss
Narrative
Description of Event or Problem
IN THE MORNING THE CONTINUOUS RENAL REPLACEMENT (CRRT) MACHINE ALARMED. RN CHECKED THE ALARM TO FIND THAT THE SCREEN SAID "SYSTEM MALFUNCTION." NO CHOICES WERE GIVEN ON THE SCREEN. THE INSTRUCTIONS STATED TO RETURN THE BLOOD BY CRANK. RN DID NOT DO SO DUE TO THE RISK OF CLOTS BEING RETURNED TO THE PATIENT. PATIENT WAS DISCONNECTED FROM THE MACHINE. MACHINE WAS TURNED OFF, THEN BACK ON, AND AT THAT POINT THE RN WAS ABLE TO DOWNLOAD DATA TO THE DATA CARD.