inforMED
MalfunctionFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Apr 10, 2002 · Event occurred Mar 21, 2002

Report 2937457-2002-00025 · MDR key 389742

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Underdelivery

Patient

UNKNOWN

  • Cramp(s)
  • Other (for use when an appropriate patient code cannot be identified)
  • Therapy/non-surgical treatment, aborted/stopped
  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

A DIALYSIS FACILITY REPORTED THAT A PT C/O CRAMPS DURING A HEMODIALYIS TREATMENT. THE PT WAS GIVEN A TOTAL OF 800 CC. OF SALINE AND TREATMENT WAS DISCONTINUED 20 MINUTES EARLY. BASED ON THE REPORTED PRE AND POST WEIGHTS, SALINE GIVEN AND WHAT THE MACHINE INDICATED WAS REMOVED, THERE WAS A WEIGHT LOSS VARIANCE OF 1.2 KG. THERE WAS NO SERIOUS INJURY OR ILLNESS.