inforMED
MalfunctionMQS

SYSTEM 1000

Received Jul 18, 2013 · Event occurred Jun 24, 2013

Report 1416980-2013-18894 · MDR key 3234931

Device

Generic name

System, Hemodialysis, Access Recirculation Monitoring

Catalog number

S1000L3P

Product problems

  • Inadequate Ultra Filtration

Patient

Not reported

  • Weight Changes

Narrative

Additional Manufacturer Narrative

(B)(4). THE DEVICE IS BEING EVALUATED BY A FIELD SERVICE ENGINEER (FSE) AT THE CUSTOMER LOCATION. VISUAL INSPECTION WAS PERFORMED, NO PHYSICAL DAMAGE WAS FOUND. THE DEVICE PASSED ALL TESTING. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

(B)(4). THE REPORTED CONDITION WAS NOT CONFIRMED; THE CAUSE WAS UNDETERMINED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT A PATIENT HAD HIGH ULTRAFILTRATION DURING HEMODIALYSIS (HD) THERAPY. THE PATIENT WEIGHED 700 GRAMS LESS THAN EXPECTED. THERE WAS PATIENT INVOLVEMENT, BUT THERE WAS NO PATIENT INJURY OR MEDICAL INTERVENTION INDICATED AT THE TIME OF THE INITIAL REPORT.