Full list of medical products: fresenius 2008 t hemodialysis machine; combiset hemodialysis tubing; 160 nre optiflux dialyzer; granuflo 2.0k, 2.5 ca, 1.0 mg, 100 dextrose; naturalyte 4000 rx12 bicarbonate (45x); fresenius 1000 ml normal saline; wingeater jms 15 gauge x1 inch fistula needle; heparin sodium (porcine) 6000 u bolus.Mw (b)(4) received from fresenius.Samples from the same lot number were received from the customer.The samples were tested for adhesion and met product specifications.End of report.
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An outpatient dialysis facility reported the following information via a medwatch form.Approximately 45 minutes into a scheduled 4 hours hemodialysis treatment, the machine alarmed arterial pressure.Staff found patient with venous fistula needle dislodged, with tape intact on wings of the fistula needle.A pool of blood was noted below the chair, which continued to the wall behind the chair.Chair was in semi-reclined position.Ebl 300 ml.Patient was unresponsive with erratic respiratory rate.Blood pressure was 112/60, pulse 60.Normal saline was administered through the arterial needle (total given 2.0l).Patient was placed in trendelenburg position and oxygen 10 l applied via nasal cannula.Patient was drowsy but responding to verbal stimuli.Ems was called, and patient was discharged with blood pressure 117/59, pulse 62, resp 18.One unit of prbc was administered in the er and patient was then discharged home.Patient returned to the facility for his next scheduled hemodialysis treatment on (b)(6) 2018.
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