inforMED
MalfunctionFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Nov 1, 2002 · Event occurred Oct 2, 2002

Report 2937457-2002-00041 · MDR key 426339

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Output, low
  • Inadequate Ultra Filtration
  • Unknown (for use when the device problem is not known)

Patient

79 YR

  • Cramp(s)
  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

A DIALYSIS FACILITY REPORTED THAT THERE WAS EXCESSIVE FLUID REMOVED FROM A PT DURING A HEMODIALYSIS TREATMENT. THE PT C/O CRAMPS 15MIN. BEFORE THE END OF TREATMENT AND WAS GIVEN 300CC OF SALINE. BASED ON THE PRE AND POST WEIGHTS, SALINE GIVEN AND WHAT THE MACHINE INDICATED WAS REMOVED, THERE WAS FLUID WEIGHT LOSS VARIANCE OF APPROX 1.9KG. THE PT WAS DISCHARGED IN STABLE CONDITION.