inforMED

MCB 214-100 BICARB SYSTEM

Received Sep 5, 2015 · Event occurred Aug 7, 2015

Report 3019131-2015-00003 · MDR key 5059342

Device

Generic name

Tank, Holding Dialysis

Model number

214-100

Product problems

  • Use of Device Problem

Patient

Not reported

  • Chemical Exposure

Narrative

Additional Manufacturer Narrative

RECEIVED INITIAL REPORT FROM CLINIC ON 8.7.2015. MULTIPLE CONTACT ATTEMPTS HAVE BEEN MADE ALONG WITH MESSAGES LEFT FOR DR. (B)(6) OVER THE LAST 30 DAYS REQUESTING ADDITIONAL INFORMATION. NO ADDITIONAL INFORMATION HAS BEEN FORTHCOMING.

Description of Event or Problem

CLINIC CALLED TO REPORT THAT WHILE PERFORMING A BLEACH DISINFECT OF THEIR MCP SYSTEM (HEMODIALYSIS DIALYSATE BICARBONATE MIXER), THE STAFF INADVERTENTLY SENT THE MIXTURE TO THE PATIENT FLOOR. POTENTIAL OF AFFECTING 20 PATIENTS. CLINIC WAS MONITORING HEMO LEVELS AND DID NOT REPORT ANY ADVERSE EFFECTS.