FDA Adverse Event
Injury
Summary report: N
NEPHRETECT
MDR report key: 333857
·
Received May 17, 2001
Report
- Report Number
- 1221361-2001-00002
- Event Type
- Injury
- Date Received
- May 17, 2001
- Date of Event
- April 18, 2001
- Report Date
- April 18, 2001
- Manufacturer
- ALDEN, A DIV OF METREX RESEARCH CORP
- Product Code
- HZT
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
A HEALTHCARE WORKER FROM THE KIDNEY CENTER REPORTED THAT WHILE 2 PTS WERE HOOKED UP TO DIALYSIS TREATMENT, THEY SIMULTANEOUSLY EXPERIENCED SYMPTOMS OF FORMALDEHYDE EXPOSURE (IE, SWOLLEN LIPS, DIFFICULTY BREATHING). THE DIALYSIS TREATMENTS WERE IMMEDIATELY DISCONTINUED AND THE PTS RECEIVED MEDICAL TREATMENT FROM THE NURSES ON-SITE. THE HEALTHCARE WORKER STATED THAT PRIOR TO TURNING ON THE DIALYSIS MACHINES, NEPHRETECT WAS USED TO DETECT FORMALDEHYDE RESIDUAL. NO RESIDUAL WAS NOTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 23353 | NEPHRETECT | FORMALDEHYDE TEST REAGENT | HZT | ALDEN, A DIV OF METREX RESEARCH CORP | UNK | 00117 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Life Threatening |