FDA Adverse Event Other Summary report: N

FRESENIUS DIALYSIS DELIVERY SYSTEM

MDR report key: 112036 · Received August 8, 1997

Report

Report Number
2937457-1997-00049
Event Type
Other
Date Received
August 8, 1997
Date of Event
July 3, 1997
Report Date
July 8, 1997
Manufacturer
FRESENIUS USA, INC.
Product Code
FII
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

A DIALYSIS FACILITY REPORTED THAT APPROX 1/2 HR INTO THE DIALYSIS TREATMENT, A PT C/O NAUSEA AND VOMITING. PT WAS GIVEN SALINE AND WAS STABLE FOR ABOUT 1/2 HR. HE LATER C/O NAUSEA, VOMITING AND ABDOMINAL PAIN AND WAS SENT OT THE HOSP ER FOR EVAL. HIS DIAGNOSIS WAS ACIDOSIS AND HYPERKALEMIA. HE WAS DISCHARGED LATER ON THE SAME DAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FRESENIUS DIALYSIS DELIVERY SYSTEM HEMODIALYSIS MACHINE FII FRESENIUS USA, INC. 2008E NA

Patients

Seq Age Sex Outcome Treatment
1 65 YR Hospitalization