FDA Adverse Event Malfunction Summary report: N

2008T HD SYS. CDX W/BIBAG BLUE STAR

MDR report key: 16138999 · Received January 11, 2023

Report

Report Number
0002937457-2023-00048
Event Type
Malfunction
Date Received
January 11, 2023
Date of Event
January 9, 2023
Report Date
January 23, 2023
Manufacturer
CONCORD MANUFACTURING
Product Code
KDI
UDI-DI
00840861102099
PMA / PMN Number
K173972
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D9, H3 PLANT INVESTIGATION: AN INSPECTION ON THE RETURNED ROTOR SHOWED ONE OF THE REAR GUIDE SHEAVE (POLYMER SLEEVE) DEFORMED AND LOOSE. THE OTHER REAR GUIDE PIN HAS A MISSING SLEEVE. THERE ARE NO DISCREPANCIES WITH THE FRONT GUIDE PIN AND SLEEVES. SEE ATTACHED PHOTOS. INSTALL 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. THE ROTOR DID NOT DAMAGE THE BLOODLINE AND THERE WERE NO FLUID LEAKS OR ALARMS DURING TESTING. THE DEFECTIVE SLEEVE DID NOT SLIP OUT AND REMAINED INTACT WITH GUIDE PIN 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. THE COMPLAINT WAS 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 TUBING GUIDE WAS LOOSE CAUSING DAMAGE TO THE BLOOD PUMP TUBING DURING A PATIENT¿S HEMODIALYSIS (HD) TREATMENT. UPON FOLLOW-UP, THE BMT STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, CUT OPEN THE BLOOD PUMP TUBING AND CAUSED A BLOOD LEAK TO OCCUR. THE BMT STATED THE ROTOR SLEEVES AROUND THE PINS WERE LOOSE AND SLIPPING OFF AND CAUSING THE BLOOD PUMP TO CUT THE TUBING. THE PREVIOUS ROTOR WAS THE ORIGINAL TO THE MACHINE. THE BMT STATED THE ROTOR LASTED 5,000 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 UNKNOWN. 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 RETURNED FOR MANUFACTURER EVALUATION.

Description of Event or Problem · 0

A USER FACILITY BIOMEDICAL TECHNICIAN (BMT) REPORTED THAT THE BLOOD PUMP ROTOR TUBING GUIDE WAS LOOSE CAUSING DAMAGE TO THE BLOOD PUMP TUBING DURING A PATIENT¿S HEMODIALYSIS (HD) TREATMENT. UPON FOLLOW-UP, THE BMT STATED THE BLOOD PUMP ROTOR OF THE MACHINE, A FRESENIUS 2008T MACHINE, CUT OPEN THE BLOOD PUMP TUBING AND CAUSED A BLOOD LEAK TO OCCUR. THE BMT STATED THE ROTOR SLEEVES AROUND THE PINS WERE LOOSE AND SLIPPING OFF AND CAUSING THE BLOOD PUMP TO CUT THE TUBING. THE PREVIOUS ROTOR WAS THE ORIGINAL TO THE MACHINE. THE BMT STATED THE ROTOR LASTED 5,000 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 UNKNOWN. 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 RETURNED FOR MANUFACTURER EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1472825 2008T HD SYS. CDX W/BIBAG BLUE STAR DIALYZER, HIGH PERMEABILITY WITH OR WITHOUT SEALED DIALYSATE SYSTEM KDI CONCORD MANUFACTURING 191126 00840861102099

Patients

Seq Age Sex Outcome Treatment
1 Unknown FRESENIUS BLOODLINES.| FRESENIUS BLOODLINES.| FRESENIUS DIALYZER.| FRESENIUS DIALYZER.