inforMED
InjuryHZT

NEPHRETECT

Received May 17, 2001 · Event occurred Apr 18, 2001

Report 1221361-2001-00002 · MDR key 333857

Device

Generic name

Formaldehyde Test Reagent

Model number

UNK

Catalog number

5000

Lot number

00117

Product problems

  • Reaction

Patient

UNKNOWN

  • Swelling
  • Breathing difficulties
  • Therapy/non-surgical treatment, aborted/stopped
  • Therapy/non-surgical treatment, additional
  • Chemical Exposure

Narrative

Description of Event or Problem

A HEALTHCARE WORKER FROM THE KIDNEY CENTER REPORTED THAT WHILE 2 PTS WERE HOOKED UP TO DIALYSIS TREATMENT, THEY SIMULTANEOUSLY EXPERIENCED SYMPTOMS OF FORMALDEHYDE EXPOSURE (IE, SWOLLEN LIPS, DIFFICULTY BREATHING). THE DIALYSIS TREATMENTS WERE IMMEDIATELY DISCONTINUED AND THE PTS RECEIVED MEDICAL TREATMENT FROM THE NURSES ON-SITE. THE HEALTHCARE WORKER STATED THAT PRIOR TO TURNING ON THE DIALYSIS MACHINES, NEPHRETECT WAS USED TO DETECT FORMALDEHYDE RESIDUAL. NO RESIDUAL WAS NOTED.