inforMED
MalfunctionMSE

F80A DIALYZER FINISHED ASSY

Received Mar 6, 2014 · Event occurred Jan 31, 2014

Report 1713747-2014-00094 · MDR key 3837857

Device

Catalog number

0500154A

Lot number

13EU03006

Product problems

  • Fluid/Blood Leak

Patient

51 YR

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THE PLANT INVESTIGATION HAS NOT YET BEEN COMPLETED. A F/U REPORT WILL BE FILED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem

A HEMODIALYSIS INPATIENT USER FACILITY HAS REPORTED THAT DURING TREATMENT, A BLOOD LEAK OCCURRED. THE LEAK WAS VISUALLY OBSERVED FROM THE HEAD OF THE DIALYZER AND THE MACHINE ALARMED. ESTIMATED BLOOD LOSS WAS 20CC'S. PT HAD NO ADVERSE EFFECTS AND REQUIRED NO MEDICAL INTERVENTION. SAMPLE HAS NOT BEEN RETURNED TO THE MFR.