inforMED
MalfunctionFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Feb 15, 2002 · Event occurred Dec 22, 2001

Report 2937457-2002-00012 · MDR key 378038

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Output, high

Patient

UNKNOWN

  • Low Blood Pressure/ Hypotension
  • Therapy/non-surgical treatment, additional
  • Abdominal Cramps

Narrative

Description of Event or Problem

FRESENIUS MEDICAL CARE CANADA, INC. REPORTED THAT THERE WAS EXCESSIVE FLUID REMOVED DURING A HEMODIALYSIS TREATMENT. THE PATIENT BECAME HYPOTENSIVE AND C/O CRAMPS 13 MINUTES BEFORE THE END OF TREATMENT AND RECEIVED A LITER OF SALINE. BASED ON THE PRE AND POST WEIGHTS REPORTED, SALINE GIVEN AND WHAT THE MACHINE INDICATED WAS REMOVED, THERE WAS A WEIGHT LOSS VARIANCE OF APPROXIMATELY 2.5 KG. THERE WAS NO SERIOUS INJURY OR ILLNESS.