BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOMECHOICE AUTOMATED PD SET W/CASSETE 4-PRONG

    MDR report key: 373963 · Received January 23, 2002

    Report

    Report Number
    1423500-2002-00081
    Event Type
    Other
    Date Received
    January 23, 2002
    Date of Event
    December 19, 2001
    Report Date
    December 27, 2001
    Manufacturer
    BAXTER HEALTHCARE CORPORATION
    Product Code
    FKX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    HEALTHCARE PROFESSIONAL REPORTS PATIENT WITH A PERITONITIS EPISODE. THE PATIENT EXPERIENCED ABDOMINAL PAIN, SHORTNESS OF BREATH, PALLOR, NAUSEA, AND CONSTIPATION. THE PATIENT WAS HOSPITALIZED FOR 3 DAYS AND WAS TREATED WITH INTERAPERITONEAL (IP) CEFAZOLIN 500MG/L, LOADING DOSE AND CEFAZOLIN 125MG/L, MAINTENANCE DOSE. HCP REPORTS THE PATIENT HAS RECOVERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOMECHOICE AUTOMATED PD SET W/CASSETE 4-PRONG HOMECHOICE CASSETTE FKX BAXTER HEALTHCARE CORPORATION NA NA01

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Hospitalization| O HOMECHOICE AUTOMATED PD SYSTEM 115 VOLT.