FDA Adverse Event
Malfunction
Summary report: N
NIPRO ELISIO-H DIALYZER
MDR report key: 23653287
·
Received November 25, 2025
Report
- Report Number
- 9610987-2025-00027
- Event Type
- Malfunction
- Date Received
- November 25, 2025
- Date of Event
- October 25, 2025
- Report Date
- December 9, 2025
- Manufacturer
- NIPRO CORPORATION (ODT)
- Product Code
- KDI
- PMA / PMN Number
- K131935
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING TREATMENT, THE BLOOD LEAK ALARM ACTIVATED, AND THE PROCEDURE WAS STOPPED. BLOOD WAS NOT RETURNED; BLOOD FROM THE EXTRACOPOREAL SYSTEM WAS DISCARDED. ADDITIONAL INFORMATION RECEIVED 11/26/2025: PATIENT DID NOT ENCOUNTER ANY SYMPTOMS, BLOODLINE WAS DISCARDED, MACHINE WAS SHUT DOWN, STAFF REPLACED FULL SET OF CONSUMABLES, AND TREATMENT WAS CONTINUED.
Description of Event or Problem · 0
DURING TREATMENT, THE BLOOD LEAK ALARM ACTIVATED, AND THE PROCEDURE WAS STOPPED. BLOOD WAS NOT RETURNED; BLOOD FROM THE EXTRACORPOREAL SYSTEM WAS DISCARDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2538155 | NIPRO ELISIO-H DIALYZER | DIALYZER | KDI | NIPRO CORPORATION (ODT) | ELISIO-17H | 25D24C |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |