FDA Adverse Event Death Summary report: N

1550 HEMODIALYSIS MACHINE

MDR report key: 382592 · Received March 14, 2002

Report

Report Number
1423500-2002-00340
Event Type
Death
Date Received
March 14, 2002
Date of Event
January 1, 1999
Report Date
January 13, 2002
Manufacturer
BAXTER HEALTHCARE CORP.
Product Code
FKP
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

ATTORNEY REPORTED A PATIENT WAS BEING TREATED ON A 1550 HEMODIALYSIS DEVICE FOR AN ASPIRIN AND ALCOHOL OVERDOSE. DURING THE TREATMENT THE DEVICE GAVE A WATER PRESSURE ALARM AND THE TREATMENT WAS SUSPENDED FOR APPROXIMATELY ONE HOUR DUE TO WATER SYSTEM PROBLEMS IN THE FACILITY. TREATMENT RESUMED AND THE PATIENT WENT INTO RESPIRATORY ARREST. THE PATIENT WAS EXTUBATED. THE PATIENT SUBSEQUENTLY DIED. IT WAS REPORTED THAT THE PATIENT WAS NOT ATTRIBUTED TO THE DEVICE. NO OTHER INFORMATION IS KNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 1550 HEMODIALYSIS MACHINE SPS 1550 FKP BAXTER HEALTHCARE CORP. 1550 NA

Patients

Seq Age Sex Outcome Treatment
1 50 YR Death