A report was received on 20 feb 2024 from the home therapy nurse (htn) of a 61 year old male patient with a medical history including diabetes and end stage renal disease, who stated an insufficient amount of programmed fluid was removed during a home hemodialysis treatment and the patient was hospitalized for fluid overload on (b)(6) 2024.Additional information was received on 22 feb 2024 from the home therapy nurse (htn) who stated the patient experienced dyspnea and edema.The patient was admitted to hospital on (b)(6) 2024 and was discharged on (b)(6) 2024.Following the event, the patient has resumed therapy with the nxstage system.
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A review of the device history record (dhr) was conducted which confirmed that the device met all quality criteria and manufacturing specifications prior to release.There was no indication of a device malfunction from the available information.Factors outside the scope of nxstage therapy can impact the patient's weight, these include but are not limited to the accuracy with which intake is recorded, the weighing techniques used, and the patient's comorbidities.The nxstage system one user guide outlines risks associated with performing hemodialysis therapy and warns all treatments must be administered under a physician's prescription and must be performed by a trained and qualified person, considered to be competent in the use of this device by the prescribing physician.Udi: (b)(4).
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