FDA Adverse Event Malfunction Summary report: N

2008T HD SYS. W/O CDX W/BIBAG BLUE STAR

MDR report key: 15857747 · Received November 23, 2022

Report

Report Number
0002937457-2022-02050
Event Type
Malfunction
Date Received
November 23, 2022
Date of Event
November 18, 2022
Report Date
January 18, 2023
Manufacturer
CONCORD MANUFACTURING
Product Code
KDI
UDI-DI
00840861102112
PMA / PMN Number
K173972
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CORRECTION: H6 DEVICE COMPONENT CODE.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D9, H3 PLANT INVESTIGATION: THE BLOOD PUMP ROTOR WAS RETURNED WITH ONE OF THE REAR GUIDE SHEAVES (POLYMER SLEEVE) LOOSE AND DEFORMED. THE SLEEVE CAN BE EASILY SLIDE OUT FROM THE PIN. THERE ARE NO DISCREPANCIES WITH THE OTHER THREE GUIDE PINS AND SLEEVES. INSERT THE REAR SLEEVE BACK ONTO THE GUIDE PIN AND INSTALL THE ROTOR ONTO THE BLOOD PUMP MODULE OF A TEST MACHINE FOR TESTING. A PATIENT TEST WAS PERFORMED WITH FRESENIUS¿S COMBISET BLOODLINE AND WATER IN DIALYSIS. THE RETURNED ROTOR DID NOT DAMAGE THE BLOODLINE AND NO FLUID LEAK OCCURRED DURING TESTING. THE REPORTED ¿HIGH (NEGATIVE) TMP¿ DID NOT OCCUR. THE REAR SLEEVE REMAINED INTACT AND DID NOT SLIDE OUT FROM THE PIN. THERE WAS NO ADDITIONAL DAMAGE TO THE SLEEVE DURING TESTING. A REVIEW OF THE DEVICE MANUFACTURING RECORDS WAS CONDUCTED BY THE MANUFACTURER. THERE WERE NO DEVIATIONS OR NON-CONFORMANCES DURING THE MANUFACTURING PROCESS. IN ADDITION, A DEVICE HISTORY RECORD (DHR) REVIEW WAS PERFORMED AND VERIFIED THAT THE RESULTS OF THE IN-PROGRESS AND FINAL QUALITY CONTROL (QC) TESTING MET ALL REQUIREMENTS.

Additional Manufacturer Narrative · 0

PLANT INVESTIGATION: ALTHOUGH IT WAS STATED THAT THE COMPLAINT DEVICE WAS AVAILABLE TO BE RETURNED, TO DATE NO PARTS WERE RETURNED TO THE MANUFACTURER FOR PHYSICAL EVALUATION. ADDITIONALLY, NO ON-SITE EVALUATION WAS PERFORMED BY A FRESENIUS FIELD SERVICE TECHNICIAN (FST). A RECORDS REVIEW WAS PERFORMED ON THE REPORTED SERIAL NUMBER. INVESTIGATION DETERMINES THAT THERE WAS CAUSAL RELATIONSHIP BETWEEN THE OBJECTIVE EVIDENCE AND THE ALLEGED EVENT; THE ALLEGED EVENT IS CONFIRMED. AN INVESTIGATION OF THE DEVICE MANUFACTURING RECORDS WAS CONDUCTED BY THE MANUFACTURER. THERE WERE NO NON-CONFORMANCES, OR ANY ASSOCIATED REWORK IDENTIFIED DURING THE MANUFACTURING PROCESS WHICH COULD BE RELATED TO THE REPORTED EVENT. IN ADDITION, THE DEVICE HISTORY RECORD (DHR) REVIEW CONFIRMED THE RESULTS OF THE IN-PROGRESS AND FINAL QUALITY CONTROL (QC) TESTING MET ALL REQUIREMENTS. THE INVESTIGATION INTO THE CAUSE OF THE REPORTED PROBLEM WAS CONFIRMED.

Additional Manufacturer Narrative · 0

CORRECTION: H6 DEVICE COMPONENT CODE.

Additional Manufacturer Narrative · 0

THE PLANT INVESTIGATION IS IN PROCESS. A SUPPLEMENTAL MDR WILL BE SUBMITTED UPON COMPLETION OF THIS ACTIVITY.

Description of Event or Problem · 0

A USER FACILITY CLINICAL COORDINATOR (CC) REPORTED THAT THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND THERE WAS A HIGH TMP ALARM. THE CC STATED THE ARTERIAL BLOOD LINE WAS CUT BY THE BLOOD PUMP ROTOR RESULTING IN BLOOD LOSS TWENTY MINUTES AFTER INITIATION OF A PATIENT¿S HEMODIALYSIS (HD) TREATMENT. UPON FOLLOW-UP, THE CC STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, SLIT OPEN THE BLOOD PUMP TUBING AND CAUSED THE BLOOD LEAK TO OCCUR. THE CC STATED THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND CUT THE ARTERIAL TUBING LINE. THE CC ALSO STATED THAT FRESENIUS BLOODLINES WERE USED FOR TREATMENT AND CONFIRMED THAT THERE WERE NO DEFECTS OR DAMAGE SEEN ON THE MACHINE OR BLOODLINE PRIOR TO THE EVENT. PER CC TREATMENT WAS IMMEDIATELY HALTED AND THE PATIENT¿S BLOOD WAS NOT RETURNED. THE CC STATED THE ESTIMATED BLOOD LOSS WAS 250 ML. IMMEDIATELY FOLLOWING THE EVENT, THE PATIENT WAS RE-SETUP WITH NEW SUPPLIES ON A DIFFERENT MACHINE WHERE THE PATIENT WAS ABLE TO COMPLETE TREATMENT. THE CC STATED THE MACHINE ROTOR WAS REPLACED BY THE BIOMEDICAL TECHNICIAN AND THE MACHINE WAS PLACED BACK IN SERVICE. THE CC CONFIRMED THAT THERE WAS NO PATIENT INJURY, ADVERSE EVENTS, OR MEDICAL INTERVENTION REQUIRED AS A RESULT OF THE REPORTED EVENT. THE CC STATED THE COMPONENT WAS AVAILABLE TO BE RETURNED FOR MANUFACTURER EVALUATION.

Description of Event or Problem · 0

A USER FACILITY CLINICAL COORDINATOR (CC) REPORTED THAT THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND THERE WAS A HIGH TMP ALARM. THE CC STATED THE ARTERIAL BLOOD LINE WAS CUT BY THE BLOOD PUMP ROTOR RESULTING IN BLOOD LOSS TWENTY MINUTES AFTER INITIATION OF A PATIENT¿S HEMODIALYSIS (HD) TREATMENT. UPON FOLLOW-UP, THE CC STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, SLIT OPEN THE BLOOD PUMP TUBING AND CAUSED THE BLOOD LEAK TO OCCUR. THE CC STATED THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND CUT THE ARTERIAL TUBING LINE. THE CC ALSO STATED THAT FRESENIUS BLOODLINES WERE USED FOR TREATMENT AND CONFIRMED THAT THERE WERE NO DEFECTS OR DAMAGE SEEN ON THE MACHINE OR BLOODLINE PRIOR TO THE EVENT. PER CC TREATMENT WAS IMMEDIATELY HALTED AND THE PATIENT¿S BLOOD WAS NOT RETURNED. THE CC STATED THE ESTIMATED BLOOD LOSS WAS 250 ML. IMMEDIATELY FOLLOWING THE EVENT, THE PATIENT WAS RE-SETUP WITH NEW SUPPLIES ON A DIFFERENT MACHINE WHERE THE PATIENT WAS ABLE TO COMPLETE TREATMENT. THE CC STATED THE MACHINE ROTOR WAS REPLACED BY THE BIOMEDICAL TECHNICIAN AND THE MACHINE WAS PLACED BACK IN SERVICE. THE CC CONFIRMED THAT THERE WAS NO PATIENT INJURY, ADVERSE EVENTS, OR MEDICAL INTERVENTION REQUIRED AS A RESULT OF THE REPORTED EVENT. THE CC STATED THE COMPONENT WAS AVAILABLE TO BE RETURNED FOR MANUFACTURER EVALUATION.

Description of Event or Problem · 0

A USER FACILITY CLINICAL COORDINATOR (CC) REPORTED THAT THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND THERE WAS A HIGH TMP ALARM. THE CC STATED THE ARTERIAL BLOOD LINE WAS CUT BY THE BLOOD PUMP ROTOR RESULTING IN BLOOD LOSS TWENTY MINUTES AFTER INITIATION OF A PATIENT¿S HEMODIALYSIS (HD) TREATMENT. UPON FOLLOW-UP, THE CC STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, SLIT OPEN THE BLOOD PUMP TUBING AND CAUSED THE BLOOD LEAK TO OCCUR. THE CC STATED THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND CUT THE ARTERIAL TUBING LINE. THE CC ALSO STATED THAT FRESENIUS BLOODLINES WERE USED FOR TREATMENT AND CONFIRMED THAT THERE WERE NO DEFECTS OR DAMAGE SEEN ON THE MACHINE OR BLOODLINE PRIOR TO THE EVENT. PER CC TREATMENT WAS IMMEDIATELY HALTED AND THE PATIENT¿S BLOOD WAS NOT RETURNED. THE CC STATED THE ESTIMATED BLOOD LOSS WAS 250 ML. IMMEDIATELY FOLLOWING THE EVENT, THE PATIENT WAS RE-SETUP WITH NEW SUPPLIES ON A DIFFERENT MACHINE WHERE THE PATIENT WAS ABLE TO COMPLETE TREATMENT. THE CC STATED THE MACHINE ROTOR WAS REPLACED BY THE BIOMEDICAL TECHNICIAN AND THE MACHINE WAS PLACED BACK IN SERVICE. THE CC CONFIRMED THAT THERE WAS NO PATIENT INJURY, ADVERSE EVENTS, OR MEDICAL INTERVENTION REQUIRED AS A RESULT OF THE REPORTED EVENT. THE CC STATED THE COMPONENT WAS AVAILABLE TO BE RETURNED FOR MANUFACTURER EVALUATION.

Description of Event or Problem · 0

A USER FACILITY CLINICAL COORDINATOR (CC) REPORTED THAT THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND THERE WAS A HIGH TMP ALARM. THE CC STATED THE ARTERIAL BLOOD LINE WAS CUT BY THE BLOOD PUMP ROTOR RESULTING IN BLOOD LOSS TWENTY MINUTES AFTER INITIATION OF A PATIENT¿S HEMODIALYSIS (HD) TREATMENT. UPON FOLLOW-UP, THE CC STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, SLIT OPEN THE BLOOD PUMP TUBING AND CAUSED THE BLOOD LEAK TO OCCUR. THE CC STATED THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND CUT THE ARTERIAL TUBING LINE. THE CC ALSO STATED THAT FRESENIUS BLOODLINES WERE USED FOR TREATMENT AND CONFIRMED THAT THERE WERE NO DEFECTS OR DAMAGE SEEN ON THE MACHINE OR BLOODLINE PRIOR TO THE EVENT. PER CC TREATMENT WAS IMMEDIATELY HALTED AND THE PATIENT¿S BLOOD WAS NOT RETURNED. THE CC STATED THE ESTIMATED BLOOD LOSS WAS 250 ML. IMMEDIATELY FOLLOWING THE EVENT, THE PATIENT WAS RE-SETUP WITH NEW SUPPLIES ON A DIFFERENT MACHINE WHERE THE PATIENT WAS ABLE TO COMPLETE TREATMENT. THE CC STATED THE MACHINE ROTOR WAS REPLACED BY THE BIOMEDICAL TECHNICIAN AND THE MACHINE WAS PLACED BACK IN SERVICE. THE CC CONFIRMED THAT THERE WAS NO PATIENT INJURY, ADVERSE EVENTS, OR MEDICAL INTERVENTION REQUIRED AS A RESULT OF THE REPORTED EVENT. THE CC STATED THE COMPONENT WAS AVAILABLE TO BE RETURNED FOR MANUFACTURER EVALUATION.

Description of Event or Problem · 0

A USER FACILITY CLINICAL COORDINATOR (CC) REPORTED THAT THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND THERE WAS A HIGH TMP ALARM. THE CC STATED THE ARTERIAL BLOOD LINE WAS CUT BY THE BLOOD PUMP ROTOR RESULTING IN BLOOD LOSS TWENTY MINUTES AFTER INITIATION OF A PATIENT¿S HEMODIALYSIS (HD) TREATMENT. UPON FOLLOW-UP, THE CC STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, SLIT OPEN THE BLOOD PUMP TUBING AND CAUSED THE BLOOD LEAK TO OCCUR. THE CC STATED THE PLASTIC COVER ON THE ROTOR WAS DEFORMED AND CUT THE ARTERIAL TUBING LINE. THE CC ALSO STATED THAT FRESENIUS BLOODLINES WERE USED FOR TREATMENT AND CONFIRMED THAT THERE WERE NO DEFECTS OR DAMAGE SEEN ON THE MACHINE OR BLOODLINE PRIOR TO THE EVENT. PER CC TREATMENT WAS IMMEDIATELY HALTED AND THE PATIENT¿S BLOOD WAS NOT RETURNED. THE CC STATED THE ESTIMATED BLOOD LOSS WAS 250 ML. IMMEDIATELY FOLLOWING THE EVENT, THE PATIENT WAS RE-SETUP WITH NEW SUPPLIES ON A DIFFERENT MACHINE WHERE THE PATIENT WAS ABLE TO COMPLETE TREATMENT. THE CC STATED THE MACHINE ROTOR WAS REPLACED BY THE BIOMEDICAL TECHNICIAN AND THE MACHINE WAS PLACED BACK IN SERVICE. THE CC CONFIRMED THAT THERE WAS NO PATIENT INJURY, ADVERSE EVENTS, OR MEDICAL INTERVENTION REQUIRED AS A RESULT OF THE REPORTED EVENT. THE CC STATED THE COMPONENT WAS AVAILABLE TO BE RETURNED FOR MANUFACTURER EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
240171 2008T HD SYS. W/O CDX W/BIBAG BLUE STAR DIALYZER, HIGH PERMEABILITY WITH OR WITHOUT SEALED DIALYSATE SYSTEM KDI CONCORD MANUFACTURING 191130 00840861102112

Patients

Seq Age Sex Outcome Treatment
1 58 YR Female FRESENIUS BLOODLINES.| FRESENIUS BLOODLINES.| FRESENIUS BLOODLINES.| FRESENIUS BLOODLINES.| FRESENIUS BLOODLINES.| FRESENIUS DIALYZER.| FRESENIUS DIALYZER.| FRESENIUS DIALYZER.| FRESENIUS DIALYZER.| FRESENIUS DIALYZER.