FDA Adverse Event Death Summary report: N

FRESENIUS 2008T

MDR report key: 5922295 · Received August 31, 2016

Report

Report Number
5922295
Event Type
Death
Date Received
August 31, 2016
Date of Event
August 8, 2016
Report Date
August 22, 2016
Manufacturer
FRESENIUS RTG
Product Code
KDI
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ONE AND HALF HOURS INTO HEMODIALYSIS TREATMENT, PT WAS FOUND UNRESPONSIVE. CPR INITIATED, AED APPLIED WITH NO SHOCK ADVISED. EMS TRANSPORTED PT TO HOSPITAL WHERE SHE EXPIRED. MACHINE PASSED FUNCTIONAL TESTING POST EVENT, HOWEVER, IT WAS NOTED TWO BLOOD PRESSURES WERE RECORDED DURING THIS TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
570698 FRESENIUS 2008T HEMODIALYSIS MACHINE KDI FRESENIUS RTG 2008T

Patients

Seq Age Sex Outcome Treatment
1 79 YR Death 180NRE OPTIFLUX DIALYZER| COMBISET HEMODIALYSIS LINES