PRISMAFLEX NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2009-09-27 for PRISMAFLEX NA manufactured by Gambro Renal Products, Inc..

Event Text Entries

[1223524] Crrt (continuous renal replacement therapy) machine set for zero fluid removal. 109 cc removed. Patient observed. Did not notice any other discrepancies rest of shift, nor did following shift. Biomed notified following day and given exact hr of incident. Discussed situation very briefly to crrt (continuous renal replacement therapy) md.
Patient Sequence No: 1, Text Type: D, B5


[1241788] Crrt (continuous renal replacement therapy) machine set for zero fluid removal. 109 cc removed. Patient observed. Did not notice any other discrepancies rest of shift, nor did following shift. Biomed notified following day and given exact hr of incident. Discussed situation very briefly to crrt (continuous renal replacement therapy) md.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1496305
MDR Report Key1496305
Date Received2009-09-27
Date of Report2009-09-26
Date of Event2009-07-29
Report Date2009-09-26
Date Reported to FDA2009-09-27
Date Added to Maude2009-10-08
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePRISMAFLEX
Generic NameHEMODIALYSIS, CRRT
Product CodeMQS
Date Received2009-09-27
Model NumberPRISMAFLEX
Catalog NumberNA
Lot NumberNA
ID Number*
OperatorNURSE
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerGAMBRO RENAL PRODUCTS, INC.
Manufacturer Address10810 WEST COLLINS AVENUE LAKEWOOD CO 80215 US 80215


Patients

Patient NumberTreatmentOutcomeDate
10 2009-09-27

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