BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOMECHOICE AUTOMATED PD SET W/CASSETTE 4-PRONG

    MDR report key: 376050 · Received February 5, 2002

    Report

    Report Number
    1423500-2002-00159
    Event Type
    Other
    Date Received
    February 5, 2002
    Date of Event
    January 21, 2002
    Report Date
    January 21, 2002
    Manufacturer
    BAXTER HEALTHCARE CORP.
    Product Code
    FKX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    HOME PATIENT (HP) CONTACTED THEIR NURSE TO COMPLAIN OF NAUSEA, VOMITING, HIGH FEVER, AND CLOUDY EFFLUENT. RN PERFORMED AN EFFLUENT CULTURE WHICH REVEALED TRACES OF STAPHYLOCOCCUS COAGULASE NEGATIVE, AND PASTEURELLA MULTOCIDA. HP WAS ADVISED TO ADMINISTER 2 GRAMS INTRAPERITONEAL, ONCE DAILY, FOR 12 DAYS OF BOTH CEFTAZIDIME, AND CEFAZOLIN. TO DATE, HP HAS FULLY RECOVERED, NO HOSPITALIZTION WAS REQUIRED. AFTER A DISCUSSION BETWEEN RN AND HP'S SIGNIFICANT OTHER, IT WAS DISCOVERED THAT SIGNIFICANT OTHER SOMETIMES NEGLECTS TO WASH THEIR HANDS PRIOR TO SETUP AFTER PETTING THEIR CAT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Other HOMECHOICE AUTOMATED PD SYSTEM.