DIALYSIS BAG 401

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-08-29 for DIALYSIS BAG 401 manufactured by Nxstage Medical, Inc..

Event Text Entries

[118549439] The nurse was adding an electrolyte mixture to this continuous dialysis bag when it ruptured, splashing electrolyte fluids into her eyes. She was off work for 2 weeks as a result of these corneal abrasions she sustained from this failure. Manufacturer response for dialysis bag, (brand not provided) (per site reporter). I believe purchasing has reached out to them to get replacement bags free of charge. Unknown if they are taking the bag rupture seriously.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7826232
MDR Report Key7826232
Date Received2018-08-29
Date of Report2018-07-25
Date of Event2018-06-25
Report Date2018-07-25
Date Reported to FDA2018-07-25
Date Reported to Mfgr2018-08-29
Date Added to Maude2018-08-29
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDIALYSIS BAG
Generic NameSYSTEM, DIALYSATE DELIVERY, SINGLE PATIENT
Product CodeFKP
Date Received2018-08-29
Model Number401
Lot NumberQ1803631
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerNXSTAGE MEDICAL, INC.
Manufacturer Address350 MERRIMACK ST LAWRENCE MA 01843 US 01843


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-08-29

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