inforMED
InjuryKDI

THERMAX BLOOD WARMER UNIT

Received Jul 14, 2026 · Event occurred Aug 31, 2025

Report 3003504604-2026-00005 · MDR key 25815762

Device

Generic name

Dialyzer, High Permeability With Or Without Sealed Dialysate System

Model number

NA

Catalog number

955515

Lot number

NA

Product problems

  • Crack

Patient

NA · Unknown

  • Dyspnea
  • Low Blood Pressure/ Hypotension
  • Hypervolemia

Narrative

Additional Manufacturer Narrative

SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT APPROXIMATELY 10-15 MINUTES AFTER STARTING A CONTINUOUS RENAL REPLACEMENT THERAPY (CRRT) WITH A THERMAX BLOOD WARMER UNIT, TWO ALARMS WERE TRIGGERED. IT WAS FURTHER REPORTED THAT THE BOTTOM OF THE DEVICE WAS CRACKED. CRRT WAS DISCONTINUED WITHOUT THE EXTRACORPOREAL BLOOD BEING RETURNED TO THE PATIENT. THE PATIENT BECAME HYPOTENSIVE WITH LOW HEMOGLOBIN AND FLUID OVERLOAD WITH RESPIRATORY DISTRESS. ACCORDING TO THE REPORTER THE PATIENT REQUIRED A PACKED RED BLOOD CELL TRANSFUSION. AT THE TIME OF THIS REPORT, THE PATIENT OUTCOME WAS NOT REPORTED. NO ADDITIONAL INFORMATION IS AVAILABLE.