inforMED
MalfunctionFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Feb 12, 2002 · Event occurred Jan 14, 2002

Report 2937457-2002-00010 · MDR key 377066

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Output, low
  • Inadequate Ultra Filtration

Patient

48 YR

  • Cramp(s)
  • Weight Changes

Narrative

Description of Event or Problem

FRESENIUS MEDICAL CARE CANADA RECEIVED A REPORT STATING THAT THERE WAS EXCESSIVE FLUID REMOVED DURING A HEMODIALYSIS TREATMENT. THE PT C/O SEVERE CRAMPS AFTER 3 HRS. BASED ON THE REPORTED WEIGHTS AND WHAT THE MACHINE HAD INDICATED WAS REMOVED, THERE WAS A WEIGHT LOSS VARIANCE OF APPROX 3.6 KG. THE PT HAD NORMAL BP AND WAS AMBULATORY POST TREATMENT.

Remedial action

  • Notification
  • Modification/Adjustment