FDA Adverse Event Malfunction Summary report: N

VENOUS BLOODLINE FOR FRESENIUS 2008

MDR report key: 287696 · Received July 25, 2000

Report

Report Number
8030665-2000-00222
Event Type
Malfunction
Date Received
July 25, 2000
Date of Event
June 27, 2000
Report Date
June 29, 2000
Manufacturer
ERIKA DE REYNOSA
Product Code
FKJ
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

A PT WITH AN IMMATURE FISTULA WAS HOOKED UP TO THEIR VASCATH CATHETER. THE CATHETER WAS IMPLANTED IN 2000. A DISCONNECT FROM THE VENOUS LINE WAS NOTED 5-10 MINUTES INTO TREATMENT. EBL<100CC, NO ADDITIONAL PT ADVERSE EFFECTS. THE CLINIC WAS USING THE 2008H MACHINE WITH NARROW LIMITS SOFTWARE BUT THIS WAS NOT TURNED ON. THE MACHINE DID ALARM. THE SAMPLE WAS SAVED FOR EVAL. FOLLOW-UP WITH CLINIC NEEDED. MDR FILED DUE TO BLOODLOSS ONLY. THE PT CARE TECH WAS BELIEVED TO NOT CONNECT THE LINE TIGHTLY. THE EMPLOYEE WAS COUNSELED AND RETRAINING WAS PERFORMED AT THE CLINIC AS PART OF THE CORRECTIVE ACTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VENOUS BLOODLINE FOR FRESENIUS 2008 BLOODLINE TUBING FOR HEMODIALYSIS FKJ ERIKA DE REYNOSA NA UNK

Patients

Seq Age Sex Outcome Treatment
1 50 YR Other 2. VASCATH CATHETER.| 1. 2008H WITH NARROW LIMITS SOFTWARE,