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 |