inforMED
InjuryFJG

FILTRAL 20

Received Mar 8, 2000 · Event occurred Feb 4, 2000

Report 8010182-2000-00002 · MDR key 267760

Device

Generic name

Dialyzer

Manufacturer

Hospal Industrie

Model number

NA

Catalog number

FIL-20

Lot number

98E1561

Product problems

  • Reaction
  • Replace

Patient

15 YR

  • Allergic reaction
  • Tachycardia
  • Anxiety
  • Breathing difficulties
  • Diaphoresis
  • Therapy/non-surgical treatment, additional
  • Blood pressure, decreased

Narrative

Description of Event or Problem

APPROXIMATELY 90 SECONDS INTO THE TREATMENT, THE PT COMPLAINED OF SHORTNESS OF BREATH. THE PT WAS NOTED TO BE DIAPHORETIC AND ANXIOUS, WITH A DECREASE IN BLOOD PRESSURE AND AN INCREASE IN PULSE. THE PT WAS SWITCHED TO A POLYFLUX 17S DIALYZER. THE PT REQUIRED OXYGEN AND UNDERWENT TESTING; LAB ANALYSIS WAS POSITIVE FOR ALLERGIC REACTION.

Remedial action

  • Other