FDA Adverse Event
Injury
Summary report: N
NIPRO ELISIO-H DIALYZER
MDR report key: 23176258
·
Received September 29, 2025
Report
- Report Number
- 9610987-2025-00022
- Event Type
- Injury
- Date Received
- September 29, 2025
- Date of Event
- July 29, 2025
- Report Date
- September 25, 2025
- Manufacturer
- NIPRO CORPORATION (ODT)
- Product Code
- KDI
- PMA / PMN Number
- K131935
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
TEN MINUTES AFTER TREATMENT INITIATION, THE PATIENT EXHIBITED DYSPNEA AND BLOOD PRESSURE DROPPED TO 82/46 MMHG. NO ADDITIONAL DETAILS WERE PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1469481 | NIPRO ELISIO-H DIALYZER | DIALYZER | KDI | NIPRO CORPORATION (ODT) | ELISIO-19H | 25D03P |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention| O |