During the reinfusion, after dialysis treatment, the nurse witnessed air passing the clamp box, through the vnous line without the machine giving any alarm or operating the venous clamp.
There were no injuries or consequences to the patient.
Inspection was carried out by nipro service technician.
The tech checked the clamp box for damage, then checked its calibration.
No adjustment necessary.
Ran machine through a simulated treatment and activated the air bubble alarm with actual air bubbles many times and saw that the clamp box was operating correctly.
During reinfusion, the tech allowed the venous chamber run empty and the venous clamp again clamped the line and the air bubble alarm came up.
The machine is currently being used at the facility.
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