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Catalog Number ASKU |
Device Problem
Improper Flow or Infusion (2954)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 06/29/2019 |
Event Type
malfunction
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Manufacturer Narrative
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The device was not returned and the lot number is unknown; therefore, a device analysis could not be completed.Should additional relevant information become available, a supplemental report will be submitted.
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Event Description
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It was reported that a patient experienced air in the patient line of a homechoice cassette without an alarm.This occurred during initial drain of peritoneal dialysis therapy.The patient was connected at the time of the event.There was nothing unusual found during troubleshooting that would cause or contribute to the event.The home patient (hp) stated that they could not remember if they pressed go to start before connecting or if they checked whether the patient line was primed.Renal therapy services (rts) advised the hp to disconnect, start over with new supplies and assisted the hp in ending the therapy.Rts observed the hp with the set up and stayed with the hp to assist with the set up through initial drain.Proper procedures per the user manual were reviewed with the patient.There was no patient injury or medical intervention associated with this event.No additional information is available.
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Search Alerts/Recalls
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