Medical Device
Manufacturing
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Z-3195-2018Class II

2008T HEMODIALYSIS SYSTEM W/BIBAG, Part Number 190766, Applicable only with 2008T BlueStar Premium Upgrade...

Fresenius Medical Care Renal Therapies Group, LLC / initiated 2018-07-13 / Terminated

Fresenius Medical Care Renal Therapies Group, LLC began a recall of 2008T HEMODIALYSIS SYSTEM W/BIBAG, Part Number 190766, Applicable only with 2008T BlueStar Premium Upgrade Kit, Part Number 191138 Product Usage: Indicated for... on . FDA classified it as Class II and gives the reason as "In the hemodialysis machine during the cleaning/disinfection program, when there is a power failure or interruption, the dialysis program button should be greyed out when the machine is powered up and a mandatory rinse...". As of , the recall status on record is Terminated.

Recall record

Recall number
Z-3195-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Fresenius Medical Care Renal Therapies Group, LLC
Product
2008T HEMODIALYSIS SYSTEM W/BIBAG, Part Number 190766, Applicable only with 2008T BlueStar Premium Upgrade Kit, Part Number 191138 Product Usage: Indicated for acute and chronic dialysis therapy.
Product code
KDI Dialyzer, High Permeability With Or Without Sealed Dialysate System
Reason for recall
In the hemodialysis machine during the cleaning/disinfection program, when there is a power failure or interruption, the dialysis program button should be greyed out when the machine is powered up and a mandatory rinse should be required. However, if a power failure or interruption occurs during the cleaning/disinfection program with the auto-start feature enabled, the machine enters the dialysis program even though the dialysis program button is disabled and the mandatory rinse has not been performed. As a result, disinfecting chemical may not be completely removed from the machine before starting a treatment and disinfectant could exist in the dialysate delivered to the patient.
FDA root cause
Under Investigation by firm
Action
On 07/13/2018 phone calls were immediately conducted to the affected clinics. Contact was made to the Technical Service Directors explaining issue and to disable the Auto Start Function on their BlueStar SW v2.71 installed 2008T Hemodialysis Machines.
Quantity in commerce
40
Distribution
US Nationwide in the states of : CA, CT, MI, NC, and NY.
Product codes and lots
6T0S160600, 6T0S160624, 6T0S160672, 6T0S160695, 6T0S160732, 6T0S160740, 6T0S160773, 6T0S160781, 6T0S160785, 6T0S160841, 4T0S135962 4T0S135963 4T0S135970 4T0S135972 4T0S135980 4T0S135985 4T0S135987 4T0S136000 4T0S136003 4T0S136070 4T0S136071 4T0S136072 4T0S136077 4T0S136078 4T0S136080 4T0S136081 4T0S136082 4T0S136084 4T0S136088 4T0S136090 4T0S136091 4T0S136106 4T0S136111 4T0S136112 4T0S136114 4T0S136115 4T0S136117 4T0S136120 4T0S136121 4T0S136123

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-3195-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-3194-2018Class IITerminatedVoluntary: Firm initiated
Z-3195-2018Class IITerminatedVoluntary: Firm initiated