inforMED
MalfunctionFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Mar 28, 2003 · Event occurred Feb 26, 2003

Report 2937457-2003-00009 · MDR key 451474

Device

Generic name

Hemodialysis

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Inadequate Ultra Filtration
  • Other (for use when an appropriate device code cannot be identified)

Patient

UNKNOWN

  • Cramp(s)
  • Treatment with medication(s)

Narrative

Description of Event or Problem

FACILITY REPORTED THAT THE UF (ULTRAFILTRATION) RATE WAS HIGHER THAN EXPECTED DURING A HEMODIALYSIS TREATMENT. AFTER THE UF GOAL WAS CHANGED FROM 3900 TO 4000, THE UF RATE CHANGED TO 1960. EXPECTED UF RATE WOULD HAVE BEEN AROUND 1300. THE PT COMPLAINT OF CRAMPING AND WAS GIVEN SALINE. THERE WAS NO SERIOUS INJURY/ILLNESS.

Remedial action

  • Other