PRISMAFLEX *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2009-11-08 for PRISMAFLEX * manufactured by Gambro Renal Products, Inc.

Event Text Entries

[1120390] Prismaflex continuous renal replacement therapy machine lost memory for one hour's worth of fluid totals and the recorded patient weight. The next two hours the machine took off more fluid than it should have without any alarm sounding. The prismaflex support line was called and machine was taken out of service. A new machine was set up. This delay caused a roughly three and one-half hour lapse of therapy and resulted in the patient requiring an increase in pressor therapy.
Patient Sequence No: 1, Text Type: D, B5


[1302810] Prismaflex continuous renal replacement therapy machine lost memory for one hour's worth of fluid totals and the recorded patient weight. The next two hours the machine took off more fluid than it should have without any alarm sounding. The prismaflex support line was called and machine was taken out of service. A new machine was set up. This delay caused a roughly three and one-half hour lapse of therapy and resulted in the patient requiring an increase in pressor therapy.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1526002
MDR Report Key1526002
Date Received2009-11-08
Date of Report2009-11-08
Date of Event2009-09-13
Report Date2009-11-08
Date Reported to FDA2009-11-08
Date Added to Maude2009-11-13
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, CONTINUOUS RENAL REPLACEMENT THERAPY
Product CodeMQS
Date Received2009-11-08
Model NumberPRISMAFLEX
Catalog Number*
Lot Number*
ID Number*
OperatorNURSE
Device AvailabilityY
Device Age6 MO
Device Sequence No1
Device Event Key0
ManufacturerGAMBRO RENAL PRODUCTS, INC
Manufacturer AddressVICE PRESIDENT REGULATORY AFFA 14143 DENVER WEST PARKWAY, SUI LAKEWOOD CO 80401 US 80401


Patients

Patient NumberTreatmentOutcomeDate
10 2009-11-08

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