GAMBRO DASCO S.P.A., MONITORS DIVISION PHOENIX; DIALYZER, HIGH PERMEABILITY WITH OR WITHOUT SEALED DIALYSATE SYSTEM
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Model Number 6023006700 |
Device Problem
Defective Alarm (1014)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 02/03/2022 |
Event Type
malfunction
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Event Description
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During patient hemodialysis tx (treatment) phoenix 3 kept having conductivity alarms.Attempted to fix alarm with no effect.Alarms caused large discrepancy between tx time and dialysis time causing post bun (common blood test, the blood urea nitrogen) labs not to be drawn.Patient has 3hrs run 3x per week.Patient came in alert and orientedx3 accompanied by mother.Vs (vital signs) stable.Noted only 0.5kg over dw (dry weight) but while on hd (hemodialysis) her crit line was on profile a.Able t challenge dw with good result.However, due to machine dysfunction unable to draw post bun lab because it would cause it to be in accurate.Machine pulled from floor and biomed notified.There was no harm in this event.
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Event Description
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During patient hemodialysis tx (treatment) phoenix 3 kept having conductivity alarms.Attempted to fix alarm with no effect.Alarms caused large discrepancy between tx time and dialysis time causing post bun (common blood test, the blood urea nitrogen) labs not to be drawn.Patient has 3hrs run 3x per week.Patient came in alert and orientedx3 accompanied by mother.Vs (vital signs) stable.Noted only 0.5kg over dw (dry weight) but while on hd (hemodialysis) her crit line was on profile a.Able t challenge dw with good result.However, due to machine dysfunction unable to draw post bun lab because it would cause it to be in accurate.Machine pulled from floor and biomed notified.There was no harm in this event.
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