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