inforMED
MalfunctionFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Jan 11, 2002 · Event occurred Dec 5, 2001

Report 2937457-2002-00005 · MDR key 371726

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Insufficient Flow or Under Infusion

Patient

UNKNOWN

  • Low Blood Pressure/ Hypotension
  • Blood pressure, low

Narrative

Description of Event or Problem

REPORTS OF ULTRAFILTRATION PROBLEMS THAT WERE OBSERVED OVER SEVERAL MONTHS WERE RECEIVED FROM THE MANUFACTURER'S AFFILIATE IN CANADA ON 12/14/2001. REPORTS SUGGEST EXCESS FLUID WAS REMOVED DURING HEMODIALYSIS TREATMENTS. INFORMATION PROVIDED WAS VERY LIMITED. THERE WAS NO REPORTED SERIOUS INJURY. THE PATIENT HAD LOW BLOOD PRESSURE AFTER ONE HOUR. REPORTED ULTRAFILTRATE REMOVED WAS 1.8 KG IN ONE HOUR. THE MACHINE SHOWED THAT 0.4 KG. WAS REMOVED. PRESSURE HOLDING TEST WAS PERFORMED AND PASSED. ON-LINE PRESSURE HOLDING TEST WAS NOT ACTIVATED.