BEUDAMED
    FDA Adverse Event Other Summary report: N

    PRISMA CONTROL UNIT

    MDR report key: 1080713 · Received July 21, 2008

    Report

    Report Number
    2087532-2008-00064
    Event Type
    Other
    Date Received
    July 21, 2008
    Date of Event
    June 12, 2008
    Report Date
    June 12, 2008
    Manufacturer
    GAMBRO DASCO
    Product Code
    KDI
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    KS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    A PT ON LIFE SUPPORT WAS UNDERGOING CONTINUOUS VENO VENOUS HEMODIAFILTRATION (CVVHDF) TREATMENT WHEN THE FAMILY REQUESTED ALL LIFE SUPPORT MEASURES BE WITHDRAWN INCLUDING THE CVVHDF TREATMENT. THE PT EXPIRED APPROX FORTY FIVE MINS FOLLOWING THE REMOVAL OF ALL LIFE SUPPORT MEASURES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRISMA CONTROL UNIT INTENSIVE CARE HEMODIALYSIS KDI GAMBRO DASCO PRISMA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Other