BAXTER HEALTHCARE CORPORATION PRISMAFLEX SETS M & ST; DIALYZER, HIGH PERMEABILITY WITH OR WITHOUT SEALED DIALYSATE SYSTEM
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Catalog Number 109990 |
Device Problem
Air/Gas in Device (4062)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 02/15/2022 |
Event Type
malfunction
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Event Description
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It was reported that during treatment with a prismaflex m150 set, within three (3) minutes of initiating therapy, the tubing was observed to be saturated with air, leaving a large amount of air bubbles in the line and the set was unusable.Extracorporeal blood was not returned to the patient.Therapy was restarted using another set and within two (2) minutes of initiating therapy, this set was also filled with diffuse air and the extracorporeal blood could not be returned to the patient.There was no patient injury or medical intervention associated with this event.No additional information is available.
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Manufacturer Narrative
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Address: (b)(6).Should additional relevant information become available, a supplemental report will be submitted.
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Manufacturer Narrative
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H10: a batch review was conducted and there were no deviations found related to this reported condition during the manufacture of this lot.Two contaminated samples of prismaflex m150 were returned for investigation.A pressure test was performed and no bubbling, no leak or entry of air was observed.The reported condition was not verified.Should additional relevant information become available, a supplemental report will be submitted.
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