FDA Adverse Event Malfunction Summary report: N

PRISMAFLEX

MDR report key: 1291143 · Received January 3, 2009

Report

Report Number
1291143
Event Type
Malfunction
Date Received
January 3, 2009
Date of Event
July 12, 2008
Report Date
January 3, 2009
Manufacturer
GAMBRO RENAL PRODUCTS, INC.
Product Code
MQS
Product Problem
Yes
Report Source
User Facility report
Reporter Location
OH, US

Narratives

Description of Event or Problem · 1

IN THE SUMMER OF LAST YEAR, RN WAS TAKING CARE OF PATIENT WITH CRRT PRISMAFLEX RUNNING CONTINUOUSLY. THERE WERE REPORTED "ACCESS PRESSURES" ISSUES WITH THE PATIENT AND ALL POSSIBLE NURSING INTERVENTIONS WERE CARRIED OUT TO ATTEMPT TO CORRECT PROBLEM. THE NURSE THEN REPORTED THAT THE MACHINE ALARMED WITH A MALFUNCTION OF THE EFFLUENT SCALE. THE MACHINE SHUT ITSELF DOWN AND WOULD NOT ALLOW ANY RETESTING TO OCCUR. THE MACHINE WAS SENT TO BIOMED FOR INSPECTION AND A REPLACEMENT PRISMAFLEX MACHINE WAS BROUGHT IN TO CONTINUE WITH THE ORDERED THERAPY.====================== MANUFACTURER RESPONSE FOR HEMODIALYSIS UNIT, PRISMAFLEX MACHINE======================GAMBRO ASSISTED WITH TESTING ON SITE AND SERVICED THE DEVICE AT THEIR LOCATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRISMAFLEX HEMODIALYSIS MACHINE, CRRT/CVVH MQS GAMBRO RENAL PRODUCTS, INC. * *

Patients

Seq Age Sex Outcome Treatment
1 80 YR