inforMED
InjuryFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Oct 19, 2006 · Event occurred Sep 20, 2006

Report 2937457-2006-00010 · MDR key 772351

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Alarm, audible
  • Complete Blockage
  • Other (for use when an appropriate device code cannot be identified)

Patient

4 YR

  • Transfusion of blood products
  • Blood Loss

Narrative

Description of Event or Problem

A DIALYSIS FACILITY REPORTED THAT THERE WERE FREQUENT TMP ALARMS DURING A HEMODIALYSIS TREATMENT. BLOOD IN THE EXTRACORPOREAL CIRCUIT CLOTTED SINCE THEY WERE UNABLE TO CLEAR THE ALARMS. BLOOD LOSS WAS <100 CC. AND THE PT WAS TRANSFUSED WITH 30 CC. OF PACKED RED BLOOD CELLS.