FDA Adverse Event
Malfunction
Summary report: N
PRISMAFLEX
MDR report key: 1595427
·
Received January 18, 2010
Report
- Report Number
- 1595427
- Event Type
- Malfunction
- Date Received
- January 18, 2010
- Date of Event
- December 21, 2009
- Report Date
- January 18, 2010
- Manufacturer
- GAMBRO RENAL PRODUCTS, INC
- Product Code
- MQS
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI, US
Narratives
Description of Event or Problem · 1
WHILE RUNNING THE CRRT (CONTINUOUS RENAL REPLACEMENT THERAPY MACHINE), IT STOPPED AND GAVE AN ERROR CODE 6. UNABLE TO RUN MACHINE. MESSAGE ERROR WAS RELATED TO SOMETHING ABOUT OVER LIMIT OF 780 CC. THE DATA WAS DOWNLOADED SUCCESSFULLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PRISMAFLEX | HEMODIALYSIS MACHINE, CONTINUOUS RENAL REPLACEMENT THERAPY | MQS | GAMBRO RENAL PRODUCTS, INC | * | N/A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR |