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 2010-01-17 for PRISMAFLEX * NA manufactured by Gambro Renal Products, Inc..

Event Text Entries

[17470350] Filter change due. Therapy was stopped, and the same patient was selected. Priming procedure initiated and completed. There was an air in blood alarm given without soft keys to clear alarm. (air detector should be disabled during priming) the cassette had to be unloaded, and the data card was downloaded. A new patient was selected and circuit was primed easily.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1597633
MDR Report Key1597633
Date Received2010-01-17
Date of Report2010-01-17
Date of Event2009-12-15
Report Date2010-01-17
Date Reported to FDA2010-01-17
Date Added to Maude2010-02-10
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 MACHINE, CONTINUOUS RENAL REPLACEMENT THERAPY
Product CodeMQS
Date Received2010-01-17
Model Number*
Catalog NumberNA
Lot NumberNA
ID Number*
OperatorNURSE
Device AvailabilityY
Device Age8 MO
Device Sequence No1
Device Event Key0
ManufacturerGAMBRO RENAL PRODUCTS, INC.
Manufacturer Address14143 DENVER WEST PARKWAY SUITE 400 LAKEWOOD CO 80401 US 80401


Patients

Patient NumberTreatmentOutcomeDate
10 2010-01-17

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