Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1734-2013Class II

CDI Blood Parameter Monitoring System 500 with Venous blood parameter module. Intended for use during...

Terumo Cardiovascular Systems Corporation / initiated 2013-02-27 / Terminated / root cause: software

Terumo Cardiovascular Systems Corporation began a recall of CDI Blood Parameter Monitoring System 500 with Venous blood parameter module. Intended for use during cardiopulmonary bypass procedures when continuous... on . FDA classified it as Class II and gives the reason as "Terumo discovered through its own testing that CDI 500 Blood Parameter Monitoring System software contains inaccuracies associated with a software algorithm, and a software update has been developed to address this...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1734-2013
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Terumo Cardiovascular Systems Corporation
Product
CDI Blood Parameter Monitoring System 500 with Venous blood parameter module. Intended for use during cardiopulmonary bypass procedures when continuous monitoring of arterial and/or venous pH, PCO2, PO2, K+, oxygen saturation, hematocrit, hemoglobin, and temperature are desired.
Product code
DRY Monitor, Blood-Gas, On-Line, Cardiopulmonary Bypass
Reason for recall
Terumo discovered through its own testing that CDI 500 Blood Parameter Monitoring System software contains inaccuracies associated with a software algorithm, and a software update has been developed to address this issue and a premarket notification (K130425) has been submitted to the agency. Once clearance is received for this premarket notification from the US FDA, Terumo CVS will implement the
Root cause tag
software
FDA root cause
Software design
Action
On 2/27/13, all consignees will receive a recall notification letter via Federal Express. Terumo CVS will correct all affected CDl Monitors. Correction to the devices will be completed concurrently with BPM replacements related to Z-2185/2189-11 RES 57194. Terumo continues to manufacture and ship devices affected by this recall. The long term corrective actions are associated with Recall# Z-2185/2189-11 RES 57194. As committed previously, we will re-notify all customers once we are ready to implement the fix for the BPM in the field. All units produced prior to the change in manufacturing will be included in the scope of this correction. Terumo continues to manufacturer units affected by this correction. All units returned for this correction will be tagged with a service traveler to indicate reason for correction and units will be properly segregated to prevent unintended re-shipment.
Quantity in commerce
3972 units since 4/26/12
Distribution
Worldwide Distribution-USA (nationwide) including DC and Puerto Rico and the states of AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, WA, WI, and WV and the countries of Jordan, CANADA, AUSTRALIA, Japan ,Hong Kong ,UNITED ARAB EMIRATES (UAE), BELGIUM, South Korea, Malaysia, Mexico, Philippines, Singapore, Taiwan, and Thailand.
Product codes and lots
Catalog number: 500V* and serial numbers: 1564-1566

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1734-2013
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1730-2013Class IITerminatedVoluntary: Firm initiated
Z-1731-2013Class IITerminatedVoluntary: Firm initiated
Z-1732-2013Class IITerminatedVoluntary: Firm initiated
Z-1733-2013Class IITerminatedVoluntary: Firm initiated
Z-1734-2013Class IITerminatedVoluntary: Firm initiated