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OtherFEI

MEDISYSTEMS AV FISTULA NEEDLE

Received Jul 23, 2003

Report MW1029101 · MDR key 474029

Device

Generic name

Fistula Needle

Manufacturer

Medisystem Corp

Model number

D9-2005MG

Catalog number

*

Lot number

2612F1

Product problems

  • Leak/Splash
  • Noise

Patient

73 YR

  • Blood Loss

Narrative

Description of Event or Problem

WHEN PT WAS CANNULATED AND CONNECTED TO THEIR HIP THE VENOUS NEEDLE MADE A (POP) SOUND AND A BLOOD STREAM EXPRESSED FROM THE NEEDLE. LINES WERE CLAMPED, BLOOD CATHETER WERE DRAWN. THE LIFELINE NEEDLE WAS PULLED AND PT WAS RECANNULATED, AND CONNECTED TO TREATMENT.