Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0206-2019Class II

MyLab Seven, Model 6400

Esaote S.p.A. / initiated 2018-06-11 / Terminated / root cause: software

ESAOTE S.P.A. began a recall of MyLab Seven, Model 6400 on . FDA classified it as Class II and gives the reason as "The probe power monitoring settings have been found to be not appropriate under specific operating conditions when connected to the devices listed below. This issue may result in overheating of the probe head. The probe...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0206-2019
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Esaote S.p.A.
Product
MyLab Seven, Model 6400
Product code
IYN System, Imaging, Pulsed Doppler, Ultrasonic
Reason for recall
The probe power monitoring settings have been found to be not appropriate under specific operating conditions when connected to the devices listed below. This issue may result in overheating of the probe head. The probe power monitoring settings may not be effective in specific operating conditions so that the surface of the probe head may overheat in around one minute of continuous operations. The patient may experience discomfort, reddening of epidermis and/or mild pain. To date, no patient injury has been reported with regards to this issue.
Root cause tag
software
FDA root cause
Software design
Action
On June 11, 2018, the firm notified IH 6-18 probe customers of the product issue through a Field Safety Notice. The letter described the issue and stated that Esaote would provide and install a corrective software update for each affected unit at no cost to the customer. Until the customer receives the corrective software update, customer is requested to refrain from use of the probe IH 618 in BTEI mode or any combined mode including BTEI in Pediatric, Neonatal and Intraoperative clinical applications. For all the other applications, you are requested to monitor the possible temperature rise at the surface of the probe head and immediately stop scanning if the patient notices any discomfort. As a general safety rule, it is recommended to use the probe in default settings, to keep the examination time as short as is necessary to produce a useful diagnostic result and not to hold the probe in a fixed position for any longer than is strictly necessary. Customers are requested to distribute this Field Safety Notice to all appropriate personnel in their organization and forward to all users of the systems, including others to whom they may have transferred the systems, in which case the customer is requested to provide information to Esaote regarding the new owner.
Quantity in commerce
10
Distribution
Worldwide distribution - US Nationwide in the states of AK, AZ, CA, IN, MO, NM, PA, SC, and TX. and countries Argentina and Australia Austria Bangladesh Belgium Brazil Bulgaria China Costa Rica Denmark Egypt Finland France Germany Greece Hong Kong Hungary Iceland India Iran Italy Japan Kuwait Mexico Netherlands Norway Paraguay Poland Portugal Russian Fed. Saudi Arabia Singapore Slovenia South Africa South Korea Spain Switzerland Taiwan Thailand Tunisia Turkey United Kingdom Utd.Arab Emir.
Product codes and lots
n/a

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0206-2019
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0204-2019Class IITerminatedVoluntary: Firm initiated
Z-0205-2019Class IITerminatedVoluntary: Firm initiated
Z-0206-2019Class IITerminatedVoluntary: Firm initiated