InjuryFOZ
AV FISTULA NEEDLE
Received Feb 25, 2005 · Event occurred Feb 11, 2005
Report 579068 · MDR key 579068
Device
Generic name
Dialysis Fistula Needle
Manufacturer
Jms North America CorpModel number
UNKCatalog number
UNK
Lot number
041014253
Product problems
- Device Alarm System
- Leak/Splash
- Material Separation
Patient
77 YR
- Therapy/non-surgical treatment, additional
- Hospitalization required
- Blood Loss
Narrative
Description of Event or Problem
A PATIENT WAS UNDERGOING DIALYSIS. THE VENOUS NEEDLE SLIPPED OUT OF THE ACCESS. THE NEEDLE WAS ATTACHED BY TAPE TO THE OUTSIDE OF THE ACCESS. A PIECE OF TAPE WAS OCCLUDING THE NEEDLE; THEREFORE THE ALARM DID NOT GO OFF. THE PATIENT WAS ADMINISTERED O2 AND GIVEN 1500CC NS. BLOOD TRANSFERRED WAS RETURNED TO THE PATIENT AFTER TREATMENT. THE PATIENT WAS SENT VIA AMBULANCE TO A LOCAL HOSPITAL AND ADMITTED FOR A CARDIAC WORK UP. THE PATIENT WAS ALERT, B/P STABLE, AND RESPONSIVE WHEN TRANSFERRED BY AMBULANCE TO THE HOSPITAL.