FDA Adverse Event
Malfunction
Summary report: N
PERITONEAL DIALYSIS ULTRA BAG
MDR report key: 36534
·
Received August 26, 1996
Report
- Report Number
- 36534
- Event Type
- Malfunction
- Date Received
- August 26, 1996
- Date of Event
- March 1, 1996
- Report Date
- August 23, 1996
- Manufacturer
- RENAL DIV. BAXTER HEALTHCARE COR.
- Product Code
- KDJ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NY, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
NUMEROUS INCIDENTS OF LEAKING TUBING AND DRAINBAGS OF CO'S DISPOSABLE HOME PERITONEAL DIALYSIS SYSTEMS. ONGOING PROBLEM HAS BEEN DISCUSSED WITH CO. SOME PRODUCTS HAVE BEEN RETURNED. PROBLEM CONTINUES UNRESOLVED AND CONCERN FOR POTENTIAL ADVERSE EVENT SUCH AS PERITONITIS OR OTHER INFECTION REMAINS. ADD'L LOT NUMBERS C-326801, C-311-35, C-318352.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PERITONEAL DIALYSIS ULTRA BAG | DISPOSABLE PERITONEAL DIALYSIS BAG | KDJ | RENAL DIV. BAXTER HEALTHCARE COR. | * | C-317438, H-C-318352, C-318352 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |