inforMED
MalfunctionFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Mar 22, 2002 · Event occurred Feb 23, 2002

Report 2937457-2002-00022 · MDR key 384464

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Output, high

Patient

UNKNOWN

  • Low Blood Pressure/ Hypotension
  • Nausea
  • Therapy/non-surgical treatment, aborted/stopped
  • Treatment with medication(s)

Narrative

Description of Event or Problem

A DIALYSIS FACILITY REPORTED THAT THERE WAS EXCESSIVE FLUID REMOVED FROM A PATIENT DURING A HEMODIALYSIS TREATMENT. THE PATIENT BECAME HYPOTENSIVE AND COMPLAINT OF NAUSEA 25 MINUTES INTO THE TREATMENT AND WAS GIVEN 600 ML. OF SALINE. THE PATIENT CONTINUED TO BE SYMPTOMATIC DURING TREATMENT AND ADDITIONAL SALINE WAS GIVEN. TREATMENT WAS DISCONTINUED AFTER AN HOUR AND A HALF. BASED ON THE REPORTED PRE AND POST WEIGHTS, THE PATIENT LOST 3 KG. THE MACHINE INDICATED THAT 769 ML. WAS REMOVED THE PATIENT WAS DISCHARGED IN STABLE CONDITION.