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