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