FDA Adverse Event Malfunction Summary report: N

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

MDR report key: 16138988 · Received January 11, 2023

Report

Report Number
0002937457-2023-00049
Event Type
Malfunction
Date Received
January 11, 2023
Date of Event
January 9, 2023
Report Date
March 3, 2023
Manufacturer
CONCORD MANUFACTURING
Product Code
KDI
UDI-DI
00840861102112
PMA / PMN Number
K173972
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D9, H3 PLANT INVESTIGATION: THE ROTOR WAS RETURNED AND SHOWED ONE OF THE REAR GUIDE SHEAVE (POLYMER SLEEVE) DEFORMED AND LOOSE. THE SLEEVE CAN BE REMOVED FROM THE GUIDE PIN. THE GUIDE PIN APPEARS TO HAVE DEBRIS AND WEAR MARKINGS. THE OTHER REAR PIN IS MISSING A SLEEVE WITH WEAR MARKINGS. THERE ARE NO DISCREPANCIES WITH THE TWO FRONT GUIDE PIN AND SLEEVE. INSTALLED THE RETURNED 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 (BLOOD PUMP RATE SET AT 450 ML/MIN) FOR 3 HOURS. THE ROTOR DID NOT DAMAGE THE BLOODLINE AND THERE WERE NO FLUID LEAKS OR ALARMS DURING TESTING. THE DEFECTIVE REAR SLEEVE DID NOT DISLODGE FROM THE PIN. THERE WAS NO FURTHER DAMAGE OCCURRED TO THE ROTOR DURING TESTING. A RECORDS REVIEW WAS PERFORMED ON THE REPORTED SERIAL NUMBER. 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 ABLE TO BE CONFIRMED.

Additional Manufacturer Narrative · 0

PLANT INVESTIGATION: NO PARTS WERE RETURNED TO THE MANUFACTURER FOR PHYSICAL EVALUATION. INVESTIGATION DETERMINES THAT THERE WAS CAUSAL RELATIONSHIP BETWEEN THE OBJECTIVE EVIDENCE AND THE ALLEGED EVENT; THE ALLEGED EVENT IS CONFIRMED. A PRODUCT HISTORY REVIEW WAS COMPLETED DURING THE INVESTIGATION. A RECORDS REVIEW WAS PERFORMED ON THE REPORTED SERIAL NUMBER. 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 ABLE TO BE CONFIRMED.

Additional Manufacturer Narrative · 0

PLANT INVESTIGATION: 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 BIOMEDICAL TECHNICIAN (BMT) REPORTED THAT THE BLOOD PUMP ROTOR DAMAGED THE BLOOD PUMP TUBING SEGMENT AND CAUSED BLOOD TO LEAK DURING A PATIENT¿S HEMODIALYSIS (HD) TREATMENT WITH A BLOOD LOSS OF ABOUT 100CC OF BLOOD. UPON FOLLOW-UP, THE BMT STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, CAME OFF AND CAUSED A BLOOD LEAK TO OCCUR. THE BMT STATED THE ROTOR GUIDE SLEEVES (AROUND THE PINS) CAME OFF AND CUT THE BLOOD PUMP TUBING. THE MACHINE WAS PULLED FROM SERVICE PENDING REPLACEMENT OF THE BLOOD PUMP ROTOR. THE ROTOR WAS THE ORIGINAL TO THE MACHINE. THE BMT STATED THE ROTOR LASTED 4716 MACHINE HOURS BEFORE THE FAILURE OCCURRED. THE BMT 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. THE BMT WAS UNABLE TO REPORT HOW LONG INTO TREATMENT THE EVENT OCCURRED. PER BMT TREATMENT WAS IMMEDIATELY HALTED AND THE PATIENT¿S BLOOD WAS NOT RETURNED. THE BMT STATED THE ESTIMATED BLOOD LOSS WAS APPROXIMATELY 100CC. 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 BMT CONFIRMED THAT THERE WAS NO PATIENT INJURY, ADVERSE EVENTS, OR MEDICAL INTERVENTION REQUIRED AS A RESULT OF THE REPORTED EVENT. THE BMT STATED THE COMPONENT WAS AVAILABLE TO BE RETURNED FOR MANUFACTURER EVALUATION.

Description of Event or Problem · 0

A USER FACILITY BIOMEDICAL TECHNICIAN (BMT) REPORTED THAT THE BLOOD PUMP ROTOR DAMAGED THE BLOOD PUMP TUBING SEGMENT AND CAUSED BLOOD TO LEAK DURING A PATIENT¿S HEMODIALYSIS (HD) TREATMENT WITH A BLOOD LOSS OF ABOUT 100CC OF BLOOD. UPON FOLLOW-UP, THE BMT STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, CAME OFF AND CAUSED A BLOOD LEAK TO OCCUR. THE BMT STATED THE ROTOR GUIDE SLEEVES (AROUND THE PINS) CAME OFF AND CUT THE BLOOD PUMP TUBING. THE MACHINE WAS PULLED FROM SERVICE PENDING REPLACEMENT OF THE BLOOD PUMP ROTOR. THE ROTOR WAS THE ORIGINAL TO THE MACHINE. THE BMT STATED THE ROTOR LASTED 4716 MACHINE HOURS BEFORE THE FAILURE OCCURRED. THE BMT 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. THE BMT WAS UNABLE TO REPORT HOW LONG INTO TREATMENT THE EVENT OCCURRED. PER BMT TREATMENT WAS IMMEDIATELY HALTED AND THE PATIENT¿S BLOOD WAS NOT RETURNED. THE BMT STATED THE ESTIMATED BLOOD LOSS WAS APPROXIMATELY 100CC. 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 BMT CONFIRMED THAT THERE WAS NO PATIENT INJURY, ADVERSE EVENTS, OR MEDICAL INTERVENTION REQUIRED AS A RESULT OF THE REPORTED EVENT. THE BMT STATED THE COMPONENT WAS AVAILABLE TO BE RETURNED FOR MANUFACTURER EVALUATION.

Description of Event or Problem · 0

A USER FACILITY BIOMEDICAL TECHNICIAN (BMT) REPORTED THAT THE BLOOD PUMP ROTOR DAMAGED THE BLOOD PUMP TUBING SEGMENT AND CAUSED BLOOD TO LEAK DURING A PATIENT¿S HEMODIALYSIS (HD) TREATMENT WITH A BLOOD LOSS OF ABOUT 100CC OF BLOOD. UPON FOLLOW-UP, THE BMT STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, CAME OFF AND CAUSED A BLOOD LEAK TO OCCUR. THE BMT STATED THE ROTOR GUIDE SLEEVES (AROUND THE PINS) CAME OFF AND CUT THE BLOOD PUMP TUBING. THE MACHINE WAS PULLED FROM SERVICE PENDING REPLACEMENT OF THE BLOOD PUMP ROTOR. THE ROTOR WAS THE ORIGINAL TO THE MACHINE. THE BMT STATED THE ROTOR LASTED 4716 MACHINE HOURS BEFORE THE FAILURE OCCURRED. THE BMT 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. THE BMT WAS UNABLE TO REPORT HOW LONG INTO TREATMENT THE EVENT OCCURRED. PER BMT TREATMENT WAS IMMEDIATELY HALTED AND THE PATIENT¿S BLOOD WAS NOT RETURNED. THE BMT STATED THE ESTIMATED BLOOD LOSS WAS APPROXIMATELY 100CC. 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 BMT CONFIRMED THAT THERE WAS NO PATIENT INJURY, ADVERSE EVENTS, OR MEDICAL INTERVENTION REQUIRED AS A RESULT OF THE REPORTED EVENT. THE BMT STATED THE COMPONENT WAS AVAILABLE TO BE RETURNED FOR MANUFACTURER EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1471816 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 73 YR Male FRESENIUS BLOODLINES| FRESENIUS BLOODLINES| FRESENIUS BLOODLINES| FRESENIUS DIALYZER| FRESENIUS DIALYZER| FRESENIUS DIALYZER