InjuryFIB
NIPRO
Received Oct 20, 2004 · Event occurred Sep 10, 2004
Report 8041145-2004-00004 · MDR key 550479
Device
Generic name
Dialysis Blood Lines
Manufacturer
Nipro Medical CorporationModel number
A209/V803Catalog number
A209/V803
Lot number
04D03
Product problems
- Leak/Splash
Patient
74 YR
- Blood Loss
Narrative
Description of Event or Problem
BLOOD LINES CONNECTED TO PT. TREATMENT STARTED. VENOUS LUER LOCK CONNECTOR ON BLOOD LINE BEGAN TO LEAK UNNOTICED FOR 20 MINUTES. PT LOST APPROXIMATELY 50-100CC OF BLOOD. LUER LOCK CONNECTOR WAS RE-TIGHTENED AND TREATMENT WAS RESUMED WITHOUT FURTHER INCIDENT.