FDA Adverse Event Other Summary report: N

OSMONICS 23G RO SYSTEM

MDR report key: 275077 · Received April 19, 2000

Report

Report Number
3019131-2000-00005
Event Type
Other
Date Received
April 19, 2000
Date of Event
March 20, 2000
Report Date
April 18, 2000
Manufacturer
OSMONICS, INC. / MINNETONKA OPERATIONS
Product Code
LIP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE CHIEF TECHNICIAN AT A DIALYSIS FACILITY IS CONCERNED THAT AN APPARENT FAILURE OF THE PRODUCT DIVERT SYSTEM ON A ROUTINE ORDER COULD CAUSE POSSIBLE CONTAMINATION OF THE PRODUCT STREAM WITH UNPURIFIED WATER. THIS COULD HAVE BEEN CAUSED BY EITHER THE PERMEATE DIVERT SOLENOID OR THE AQUAMATIC VALVE OR BOTH FAILING. THE FEED WATER BEING ON THE HIGHER PRESSURE SIDE OF THE SYSTEM COULD MIGRATE INTO THE PERMEATE MANIFOLD CAUSING THE PERMEATE CONDUCTIVITY TO RISE TO A HIGHER LEVEL TO TDS (TOTAL DISSOLVED SOLIDS).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OSMONICS 23G RO SYSTEM WATER PURIFICATION FOR HEMODIALYSIS - RO LIP OSMONICS, INC. / MINNETONKA OPERATIONS HRPA10.5K *

Patients

Seq Age Sex Outcome Treatment
1 *