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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAXTER HEALTHCARE CORPORATION PRISMAXPRISMAX SYSTEM; DIALYZER, HIGH PERMEABILITY WITH OR WITHOUT SEALED DIALYSATE SYSTEM
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BAXTER HEALTHCARE CORPORATION PRISMAXPRISMAX SYSTEM; DIALYZER, HIGH PERMEABILITY WITH OR WITHOUT SEALED DIALYSATE SYSTEM Back to Search Results
Model Number 955626
Device Problem Therapeutic or Diagnostic Output Failure (3023)
Patient Problem Insufficient Information (4580)
Event Date 08/28/2020
Event Type  malfunction  
Event Description
The prismax is used to provide continuous renal replacement therapy (crrt).During operation, the automatic reposition system (arps) monitors the proper pressure by maintaining the pressure pods.The arps system failed in three units being used for training and three other units failed while being set up on patients.The arps tubing was replaced on all six units.Manufacturer response for hemodialysis machine, prismax (per site reporter).Regional manager has been made aware to escalate the issue internally.We requested to have all 20 devices' tubing replaced.
 
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Brand Name
PRISMAXPRISMAX SYSTEM
Type of Device
DIALYZER, HIGH PERMEABILITY WITH OR WITHOUT SEALED DIALYSATE SYSTEM
Manufacturer (Section D)
BAXTER HEALTHCARE CORPORATION
one baxter parkway
deerfield IL 60015
MDR Report Key10676855
MDR Text Key211265016
Report Number10676855
Device Sequence Number1
Product Code KDI
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 10/01/2020,09/25/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/14/2020
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number955626
Device Catalogue Number955626
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA10/01/2020
Event Location Hospital
Date Report to Manufacturer10/14/2020
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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