Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2742-2015Class II

CDI 500 Blood Parameter Monitoring System. Provides continuous, on-line monitoring of the extracorporeal...

Terumo Cardiovascular Systems Corporation / initiated 2015-08-07 / Terminated / root cause: software

Terumo Cardiovascular Systems Corporation began a recall of CDI 500 Blood Parameter Monitoring System. Provides continuous, on-line monitoring of the extracorporeal partial pressure of oxygen and and carbon dioxide, pH... on . FDA classified it as Class II and gives the reason as "Inaccuracies in SvO2, temperature, pH, pCO2, pO2, Hematocrit, and Potassium readings following a software upgrade to version 1.69". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2742-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Terumo Cardiovascular Systems Corporation
Product
CDI 500 Blood Parameter Monitoring System. Provides continuous, on-line monitoring of the extracorporeal partial pressure of oxygen and and carbon dioxide, pH, potassium, oxygen saturation, hematocrit, hemoglobin and temperature.
Product code
DRY Monitor, Blood-Gas, On-Line, Cardiopulmonary Bypass
Reason for recall
Inaccuracies in SvO2, temperature, pH, pCO2, pO2, Hematocrit, and Potassium readings following a software upgrade to version 1.69.
Root cause tag
software
FDA root cause
Software design
Action
A voluntary Urgent Medical Device Correction notice that clearly explains initial in-vivo calibration requirements, device operating ranges, and temperature measurements was sent on 08/17/2015, via express mail to consignees of CDI System 500 v1.69. Following the initial notice, Terumo will be updating the Operators Manual and will send the new manual to each consignee when available. One manual per unit at each facility will be provided. Customers with questions and return response forms may contact: Terumo Recall Email: [email protected] Terumo Recall Fax: 734-741-6149 Terumo CVS Customer Service: 1.800.521.2818, Monday - Friday, 8 a.m. 6 p.m. ET.
Quantity in commerce
4638
Distribution
Worldwide Distribution-US (nationwide) including DC and PR and the states of AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, 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, WV, and the countries of Australia, Belgium, Canada, Chile, Colombia, Hong Kong, Indonesia, Japan, Malaysia, Mexico, Philippines, Singapore, South Korea, Taiwan, Thailand, United Arab Emirates.
Product codes and lots
500A, 500AHCT, 500AV, 500AVHCT CDI Blood Parameter Monitoring System 500; software version 1.69.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2742-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2742-2015Class IITerminatedVoluntary: Firm initiated