FDA Adverse Event Death Summary report: N

FRESENIUS PURISTERIL 340

MDR report key: 886101 · Received July 26, 2007

Report

Report Number
886101
Event Type
Death
Date Received
July 26, 2007
Date of Event
February 27, 2007
Report Date
March 2, 2007
Manufacturer
FRESENIUS MEDICAL CARE, NORTH AMERICA
Product Code
MLR
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IN 2007, A ROUTINE DISINFECTANT CYCLE WAS PERFORMED ON A COMPONENT OF THE DIALYSIS FACILITY'S WATER TREATMENT SYSTEM USING PURISTERIL 340. APPROXIMATELY 40 OTHER PTS WERE DIALYZED AT THE FACILITY THE FOLLOWING DAY. FOUR OF THESE PTS WERE HOSPITALIZED WITHIN 3 DAYS. THREE OF THE PTS HAD LAB RESULTS INDICATING HEMOLYSIS, AND THE FOURTH PT WAS DIAGNOSED WITH GI BLEEDING. PT WAS ULTIMATELY DIAGNOSED WITH CONGESTIVE HEART FAILURE, ACIDOSIS AND CARDIAC ARREST AND AFTER THE FAMILY DISCONTINUED LIFE SUPPORT, THE PT EXPIRED AT THE HOSPITAL 2 DAYS LATER. THE THREE OTHER PTS WERE TREATED AT THE HOSPITAL AND RELEASED. THE SUSPECTED ADVERSE EVENT WAS FIRST REPORTED ON 03/02/2007 VIA A CALL TO THE FACILITY CLINICAL MANAGER FROM THE HOSPITAL PATHOLOGIST INDICATING THAT SEVERAL PTS HAD PRESENTED TO THE ED WITH LAB WORK INDICATING HEMOLYSIS. THE CLINIC IMMEDIATELY CLOSED TO INVESTIGATE THE EVENT, INCLUDING THE POSSIBILITY THAT A RESIDUAL AMOUNT OF PURISTERIL 340 MAY HAVE BEEN INTRODUCED INTO THE DIALYSIS WATER SUPPLY. UPON CONCLUSION OF THE INVESTIGATION, THE CLINIC REOPENED 3 WEEKS LATER, AND HAS OPERATED CONTINUOUSLY SINCE WITHOUT INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FRESENIUS PURISTERIL 340 MLR FRESENIUS MEDICAL CARE, NORTH AMERICA TM340 100611

Patients

Seq Age Sex Outcome Treatment
1 76 YR Death| H