inforMED
InjuryFIB

NIPRO

Received Oct 20, 2004 · Event occurred Sep 10, 2004

Report 8041145-2004-00004 · MDR key 550479

Device

Generic name

Dialysis Blood Lines

Model number

A209/V803

Catalog 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.