PHOENIX

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-06-15 for PHOENIX manufactured by Gambro.

Event Text Entries

[5873751] Dialysis machine fire: the machine had been in use with the pt for 2 hours before it began emitting a noxious odor and smoke. The nurse discontinued dialysis, unplugged the machine, and removed the machine from the room. There were no flames. The pt is on a ventilator so did not inhale/experience any effects of the smoke. Three employee that were in the room inhaled smoke and sought medical assessment; and they were returned to full duty. Early estimated relate the smoking to a solenoid valve in the machine's pump.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5043115
MDR Report Key4855553
Date Received2015-06-15
Date of Report2015-06-15
Date of Event2015-06-12
Date Added to Maude2015-06-19
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePHOENIX
Generic NameDIALYSIS MACHINE
Product CodeFKP
Date Received2015-06-15
Model NumberPHOENIX
ID NumberEE# 58285
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerGAMBRO
Manufacturer AddressDEERFIELD IL 60015 US 60015


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-06-15

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.