|
On 10/sep/2026, post market surveillance at fresenius medical care rtg, llc was notified of a possible dialyzer reaction involving the fresenius coral fx hf80 dialyzer.Additional information about the event was obtained through a follow-up call with the reporting rn.The hemodialysis rn indicated that this patient was admitted into the fms alexandria clinic on (b)(6) 2026 and has been dialyzing with the fresenius coral fx hf80 dialyzer for end stage renal disease.Per the nurse, the patient also utilized this dialyzer for hemodialysis while overseas (additional information not provided).It was stated that this elderly patient (86 years old) has baseline nausea, vomiting and generalized malaise.Additional medical history provided included: anemia in chronic kidney disease, hypertension, diabetes type 2, adult congenital heart disease (achd), heart failure with ef 60%, and hyperlipidemia.On (b)(6) 2026, this elderly female patient received her normally scheduled hemodialysis treatment for end stage renal disease via a fresenius coral fx hf80 dialyzer (lot # not available).The patient¿s pre-treatment vital signs included blood pressure (bp) of 193/71, heart rate (hr) of 75, respiratory rate (rr) of 16, and temperature 97.3.Additionally, it was stated that the patient had her baseline symptoms of nausea and vomiting which were present before starting the hemodialysis treatment.The nurse stated that the patient completed the hemodialysis treatment without any adverse effects and post-treatment vital signs included bp136/46, hr of 82, rr of 19, and temperature of 97.3.The patient was discharged home.The hemodialysis nurse stated that the coral fx dialyzer used on (b)(6) 2026 has been discarded and that there were no visible defects or concerns with the performance of the dialyzer.However, subsequently while at home, the patient began to have increased vomiting (blood tinged).Additionally, the patient had symptoms of chills, nausea and low blood pressure.As a result, the patient was advised to go to the emergency room (er).The hemodialysis nurse stated the patient did not require any medical intervention while in the emergency room (er) and that the patient¿s vomiting was self-limited.The patient was not admitted into the hospital and was discharged <24 hours later.According to the hemodialysis nurse, the patient¿s nephrologist is ruling out a dialyzer allergy to the coral fx dialyzer.It was stated that the patient was switched to a nippro cellentia 17h dialyzer for hemodialysis on (b)(6) 2026 and reportedly did not have any untoward effects.The hemodialysis nurse reported that the patient remains stable.The nurse stated the patient will be monitored to see if her baseline nausea and vomiting improves while utilizing the nippo dialyzer.At the time follow-up was conducted, the hemodialysis nurse stated it was not confirmed that the patient has an allergy to the fresenius coral fx dialyzer.Other differential diagnosis for patient¿s nausea, vomiting and malaise may be due to the patient¿s age or another underlying condition.No additional information was available.
|