inforMED
DeathMSD

FMC BLOODLINES

Received Sep 1, 2000 · Event occurred Aug 26, 2000

Report 294191 · MDR key 294191

Device

Generic name

Venous Lines

Manufacturer

Fresenius Usa

Model number

03-7307-6

Catalog number

7307

Lot number

0ER209 NR

Product problems

  • Disconnection
  • Unknown (for use when the device problem is not known)

Patient

75 YR

  • Death
  • Resuscitation
  • Breathing difficulties
  • Loss of consciousness
  • Therapy/non-surgical treatment, additional
  • Treatment with medication(s)
  • Hospitalization required
  • Blood Loss
  • Diminished Pulse Pressure

Narrative

Description of Event or Problem

PT MADE A GASPING NOISE, BECAME UNRESPONSIVE, RESPIRATIONS LABORED, AND BLOOD WAS NOTED ON CLOTHING AND CHAIR. PROCEEDED TO PLACE PT IN THE TRENDELENBURG POSITION. VENOUS LINE SEPARATION FROM CATHETER NOTED. LINE WAS REATTACHED AND 500 MLS OF NORMAL SALINE WAS INFUSED RAPIDLY. NO RESPONSE; WEAK PULSE. CPR INITIATED AND CONTINUED UNTIL EMERGENCY SERVICES ARRIVED. PT TRANSPORTED TO HOSP EMERGENCY ROOM VIA AMBULANCE WHERE THEY LATER EXPIRED.