FDA Adverse Event
Malfunction
Summary report: N
MESA LABORATORIES 7.0 PH SOLUTION
MDR report key: 3670470
·
Received October 3, 2013
Report
- Report Number
- 3670470
- Event Type
- Malfunction
- Date Received
- October 3, 2013
- Date of Event
- September 25, 2013
- Report Date
- October 2, 2013
- Manufacturer
- MESA LABORATORIES
- Product Code
- FKH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TX, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
A 7.0 PH SOLUTION FROM (B)(4) RECALLED. THIS SOLUTION IS USED TO CALIBRATE PHOENIX METERS WHICH ARE USED TO TEST PH AND CONDUCTIVITY ON OUR DIALYSIS MACHINES. FIRST ALERT SENT OUT FROM MESA LABORATORIES ON (B)(6) INDICATING 'BACTERIA GROWTH' IN 7.0 PH SOLUTION. ALERT INFORMS US TO SEQUESTER ALL AFFECTED BOTTLES OF 7.0 PH SOLUTIONS. SOLUTION SEQUESTERED ON (B)(6) 2013. ALL DIALYSIS MACHINES HEAT OR BLEACH DISINFECTED PER THE FIRST ALERT. SECOND ALERT SENT OUT ON (B)(6). THIS ALERT CHANGES TERMINOLOGY FROM 'BACTERIA GROWTH' TO 'MOLD.' ALERT INFORMS US TO PERFORM BLEACH DISINFECTION ON ALL DIALYSIS MACHINES. MACHINES DISINFECTED PER THE ALERT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 502006 | MESA LABORATORIES 7.0 PH SOLUTION | MESA LABORATORIES 7.0 PH SOLUTION | FKH | MESA LABORATORIES | ML-P7-1148 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |