inforMED
DeathFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Apr 21, 2004 · Event occurred Mar 12, 2004

Report 2937457-2004-00007 · MDR key 522074

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Alarm, failure of warning
  • Disconnection

Patient

79 YR

  • Death
  • Blood pressure, low
  • Hospitalization required
  • Blood Loss

Narrative

Description of Event or Problem

A DIALYSIS FACILITY REPORTED THAT THE VENOUS LINE WAS FOUND DISCONNECTED FROM THE PT'S SUBCLAVIAN CATHETER DURING A HEMODIALYSIS TREATMENT. THERE WAS NO MACHINE ALARM. BLOOD WAS FOUND ON THE FLOOR BUT THE AMOUNT OF BLOOD LOST COULD NOT BE ESTIMATED. VENOUS PRESSURE (VP) AT 7:32 A.M. (PRIOR TO THE INCIDENT) WAS 136. AT 7:46 A.M., WHEN THE DISCONNECTION WAS DISCOVERED, THE VP READING WAS 77. THE VENOUS ALARM WIDTH SELECTED IS UNKNOWN. THE PT WAS TAKEN TO THE HOSP AND EXPIRED A FEW DAYS LATER. CONTACT DOES NOT HAVE ANY INFO AS TO THE CAUSE OF DEATH OR IF AN AUTOPSY WAS PERFORMED.