ST. WENDEL AG ULTRAFLUX EMIC2; SET, TUBING, BLOOD, WITH AND WITHOUT ANTI-REGURGITATION VALVE
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Catalog Number 01-9771-0 |
Device Problem
Fluid/Blood Leak (1250)
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Patient Problem
Hemorrhage/Bleeding (1888)
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Event Date 10/26/2023 |
Event Type
malfunction
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Event Description
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It was reported that at the time of the event, the patient had been sedated and in the hospital for nine days following septic shock post transplant.The patient had been on dialysis for three days when the circuit was changed on the morning of october 26, 2023.On the night of october 25, 2023, to october 26, 2023 during the patient¿s continuous venovenous hemodialysis (cvvhd) treatment a significant and intense increase in venous pressure occurred and the generator triggered an alarm.An unidentified body was observed at the end of the venous tube, blocking the flow.It was impossible to return the patient¿s blood which resulted in approximately 300 ml of blood loss.After the reported event, dialysis was stopped for the patient, but this was unrelated the event.The sample was reported to not be available for evaluation.Additional information requested but has not been obtained.
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Manufacturer Narrative
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The plant investigation is in process.A supplemental mdr will be submitted upon completion of this activity. .
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Manufacturer Narrative
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Investigation: the sample was not returned.Batch production record controls resulted with conformity.Nonconformity was not observed during manufacturing process.Complaint history review confirmed there was no other complaint reported for the batch.The reported event is adequately addressed in the instructions for use and/or the label.There is no indication that the reported failure relates to falsification.The retained samples evaluation confirmed there was no failure detected.According to the results of the production group investigation, no change was observed to the production or manufacturing processes.The possible reason of the defect is related to inadequate product design.
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Event Description
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It was reported that at the time of the event, the patient had been sedated and in the hospital for nine days following septic shock post transplant.The patient had been on dialysis for three days when the circuit was changed on the morning of (b)(6) 2023.On the night of (b)(6) 2023, to (b)(6) 2023 during the patient¿s continuous venovenous hemodialysis (cvvhd) treatment a significant and intense increase in venous pressure occurred and the generator triggered an alarm.An unidentified body was observed at the end of the venous tube, blocking the flow.It was impossible to return the patient¿s blood which resulted in approximately 300 ml of blood loss.After the reported event, dialysis was stopped for the patient, but this was unrelated the event.The sample was reported to not be available for evaluation.Additional information requested but has not been obtained.
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Search Alerts/Recalls
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