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Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0496-2018Class II

Hemosphere System with the following three components: HEM1 Advanced Monitor, HEMSGM10 (Swan-Ganz Module)...

Edwards Lifesciences LLC / initiated 2017-10-02 / Terminated / root cause: design

Edwards Lifesciences, LLC began a recall of Hemosphere System with the following three components: HEM1 Advanced Monitor, HEMSGM10 (Swan-Ganz Module), and HEMOXSC100 (Oximetry Smart Cable). Product... on . FDA classified it as Class II and gives the reason as "Pre-procedural issues related to software defects". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0496-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Edwards Lifesciences LLC
Product
Hemosphere System with the following three components: HEM1 Advanced Monitor, HEMSGM10 (Swan-Ganz Module), and HEMOXSC100 (Oximetry Smart Cable). Product Usage: The HemoSphere Advanced Monitor (HEM1) is intended to be used in combination with a compatible Edwards hemodynamic monitoring technology module and/or cable and accompanying Edwards accessories and/or disposables. It provides Edwards hemodynamic monitoring technologies through modular connections. The HemoSphere Swan-Ganz Module (HEMSGM10) is intended to be used by qualified personnel or trained clinicians in a critical care environment in a hospital setting. It is a multi-use device that works in conjunction with the HemoSphere Advanced Monitor, patient CCO cable and compatible Swan-Ganz catheter to acquire and process temperature data supporting intermittent cardiac output (iCO), continuous cardiac output (CCO) and right ventricular end diastolic volume (EDV) monitoring. The HemoSphere Oximetry Smart Cable (HEMOXSC100) is intended to be used by qualified personnel or trained clinicians in a critical care environment in a hospital setting. It is a multi-use device that connects with a compatible Edwards monitor on one end and any approved Edwards oximetry catheter on the other end to continuously measure venous oxygen saturation by reflectance spectrophotometry. LEDs within the oximetry cable transmit light fiber optically to the distal end of the catheter. The amount of light absorbed, refracted, and reflected depends on the relative amounts of oxygenated and deoxygenated hemoglobin in the blood. This optical intensity data is gathered by the oximetry catheter, processed by the HemoSphere Oximetry Cable, and displayed on a compatible monitoring platform. Parameter output is mixed venous oxygen saturation (SvO2) or central venous oxygen saturation (ScvO2).
Product code
DQK Computer, Diagnostic, Programmable
Reason for recall
Pre-procedural issues related to software defects
Root cause tag
design
FDA root cause
Device Design
Action
Consignees were sent recall notification letters on approximately 10/11/2017. The letter identified the affected product, problem and actions to be taken. instructions included coordination with the respective Edwards representative to schedule the software upgrade.
Quantity in commerce
198 devices
Distribution
US Nationwide Distributed in the states of AZ, CA, CO, GA, IL, MO, NM, OK, OR, SC, TX
Product codes and lots
HEM1 UDI 00690103197006 (Serial No. 13800180, 13800185, 13800193, 13800195, 13800228, 13800162, 13800168, 13800171, 13800208, 13800210, 13800211, 13800126, 13800128, 13800129, 13800130, 13800132, 13800133, 13800135, 13800139, 13800140, 13800144, 13800146, 13800147, 13800148, 13800150, 13800187, 13800189, 13800131, 13800134, 13800136, 13800191, 13800192, 13800197, 13800172, 13800173, 13800159, 13800184, 13800188, 13800339, 13800355, 13800199, 13800200, 13800141, 13800249, 13800258, 13800259, 13800260, 13800263, 13800265, 13800268, 13800270, 13800176, 13800177, 13800179, 13800186, 13800225, 13800227, 13800230, 13800196, 13800124, 13800125, 13800137, 13800138, 13800142, 13800143, 13800145, 13800149, 13800151, 13800152); HEMSGM10 UDI 00690103196993 (Serial No. 13600223, 13600224, 13600225, 13600226, 13600257, 13600196,  13600197, 13600198, 13600227, 13600228, 13600229, 13600158, 13600159, 13600160, 13600161, 13600162, 13600163, 13600164, 13600165, 13600166, 13600167, 13600168, 13600169, 13600170, 13600171, 13600206, 13600207, 13600145, 13600146, 13600147, 13600208, 13600209, 13600211, 13600199, 13600201, 13600193, 13600194, 13600195, 13600390, 13600421, 13600212, 13600213, 13600202, 13600203, 13600204, 13600205, 13600255, 13600256, 13600258, 13600210, 13600148, 13600149, 13600150, 13600151 13600152, 13600153, 13600154, 13600155, 13600156, 13600157); HEMOXSC100 UDI 00690103196986 (Serial No. 13700241, 13700246, 13700247, 13700248, 13700303, 13700188, 13700189, 13700190, 13700280, 13700282, 13700291, 13700149, 13700150, 13700151, 13700152, 13700153, 13700154, 13700155, 13700156, 13700157, 13700158, 13700159, 13700160, 13700161, 13700162, 13700174, 13700177, 13700136, 13700137, 13700138, 13700179, 13700199, 13700182, 13700191, 13700192, 13700193, 13700194, 13700180, 13700185, 13700186, 13700183, 13700187, 13700201, 13700205, 13700215, 13700236, 13700240, 13700258, 13700265, 13700270, 13700271, 13700195, 13700196, 13700197, 13700198, 13700252, 13700301, 13700363, 13700175, 13700139, 13700140, 13700141, 13700142, 13700143, 13700144, 13700145, 13700146, 13700147, 13700148)

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0496-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0496-2018Class IITerminatedVoluntary: Firm initiated