Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1634-2014Class II

CDI Blood Parameter Monitoring System; Catalog Numbers or Part Numbers - 145891, 500AVHCT; Serial Numbers...

Terumo Cardiovascular Systems Corporation / initiated 2014-05-09 / Terminated / root cause: manufacturing process

Terumo Cardiovascular Systems Corporation began a recall of CDI Blood Parameter Monitoring System; Catalog Numbers or Part Numbers - 145891, 500AVHCT; Serial Numbers - BPM SN B015552 (installed into CDI 500 Monitor SN... on . FDA classified it as Class II and gives the reason as "There is a potential for inaccuracies in blood gas readings/measurements. There is a potential risk of respiratory alkalosis or cerebral vasoconstriction with low paCO2. If the Hemoglobin and Hematocrit measurements are...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-1634-2014
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Terumo Cardiovascular Systems Corporation
Product
CDI Blood Parameter Monitoring System; Catalog Numbers or Part Numbers - 145891, 500AVHCT; Serial Numbers - BPM SN B015552 (installed into CDI 500 Monitor SN 3535)
Product code
DRY Monitor, Blood-Gas, On-Line, Cardiopulmonary Bypass
Reason for recall
There is a potential for inaccuracies in blood gas readings/measurements. There is a potential risk of respiratory alkalosis or cerebral vasoconstriction with low paCO2. If the Hemoglobin and Hematocrit measurements are not accurate, there is a potential risk of unnecesary blood transfusion with resulting risk of infection or inflammatory reaction. BPM shipped without meeting manufacturing accep
Root cause tag
manufacturing process
FDA root cause
Release of Material/Component prior to receiving test results
Action
On 5/9/14, TCVS placed a phone call to the one affected customer regarding the recall. The phone call explained the reason for the recall, identification of affected product, potential hazard, and instructions for return of affected product.
Quantity in commerce
1
Distribution
one customer in IA
Product codes and lots
Catalog Number or Part Number 145891 500AVHCT  Serial Number: BPM SN 8015552 (installed into CDI 500 Monitor SN 3535)

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1634-2014
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1634-2014Class IITerminatedVoluntary: Firm initiated