Plant investigation: the reported complaint was not confirmed as the complaint device was not returned for manufacturer evaluation and photographs were not provided.A review of the instructions for use (ifu) determined that the reported event is adequately addressed.All dialyzers are 100% tested for leaks (bubble-point and air testing during sterilization); however, leaks due to adverse environmental conditions or mechanical stress during treatment may occur in very few cases.A production records review was performed on the reported lot.An investigation of the device history records (dhr) was conducted by the manufacturer.There was no indication of product nonacceptance, deviation, non-conformance, rework, labeling or process control failure during the manufacturing process which could be associated with the reported event.The lot met all release criteria.A definitive conclusion regarding the complaint incident cannot be reached without physical examination of the actual device.Therefore, the complaint is not confirmed.
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It was reported that a dialyzer blood leak occurred at the start of a patient's continuous renal replacement therapy (crrt).The color of the fluid in the filtrate bag appeared red.The treatment was subsequently discontinued and a portion of the patient¿s blood was reinfused.Estimated blood loss was reported to be 50 ml or less.Immediately following the event, the dialyzer was replaced with a new one.There were no reported adverse effects experienced by the patient, and there was no indication that medical intervention was required as a result of the event.
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