inforMED
MalfunctionFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Jan 9, 2003 · Event occurred Dec 11, 2002

Report 2937457-2003-00002 · MDR key 437483

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Leak/Splash
  • Other (for use when an appropriate device code cannot be identified)
  • Cut In Material

Patient

52 YR

  • Therapy/non-surgical treatment, aborted/stopped
  • Blood Loss

Narrative

Description of Event or Problem

BLOOD WAS NOTED TO BE DRIPPING FROM THE BLOOD PUMP HOUSING ON THE FRONT OF THE MACHINE AND ONTO THE FLOOR DURING A HEMODIALYSIS TREATMENT. TREATMENT WAS TERMINATED WITHOUT RETURNING THE PATIENT'S BLOOD IN THE EXTRACORPOREAL CIRCUIT. ESTIMATED TOTAL BLOOD LOSS WAS 300-350 CC. THERE WAS NO PATIENT COMPLICATION OR MEDICAL INTERVENTION. A CUT WAS NOTED ON THE BLOOD PUMP SEGMENT OF THE ARTERIAL BLOODLINE.