Medical Device
Manufacturing
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Z-1639-2022Class II

AggreGuide A-100 Instrument

Aggredyne, Inc. / initiated 2019-07-23 / Completed / root cause: software

Aggredyne, Inc. began a recall of AggreGuide A-100 Instrument on . FDA classified it as Class II and gives the reason as "The firm identified a software design issue where the improper shut down of the instrument resulted in speeds.csv file contents of the software version 5.1 being erased. Due to this issue, the target RPM for the assay...". As of , the recall status on record is Completed, and MDM tags the root cause as software.

Recall record

Recall number
Z-1639-2022
Classification
Class II
Status
Completed
Initiated
Posted
Recalling firm
Aggredyne, Inc.
Product
AggreGuide A-100 Instrument
Product code
JOZ System, Automated Platelet Aggregation
Reason for recall
The firm identified a software design issue where the improper shut down of the instrument resulted in speeds.csv file contents of the software version 5.1 being erased. Due to this issue, the target RPM for the assay is 0 and the motor output required to achieve this RPM is also 0. Therefore, when the assay is run, the software applies 0 Volts to the motor and performs a 0 RPM assay. Because of this, there is no mixing of the blood with agonist and no moving of aggregates happens in front of the optical detectors. The resulting PAI is 0 and the result is displayed as Low.
Root cause tag
software
FDA root cause
Software design
Action
On 7/23/2019, a Service Bulletin was sent to distributors and users informing them to follow the User Manual, which states: 1) To shut down the instrument: Press the Shut Down button and wait. 2) Continue to wait for the screen message stating that it is safe to turn off your computer (this may take 15 seconds or more). 3) Turn off power switch only after the message "It is now safe to turn off your computer" is displayed. 4) A future communication from the recalling firm will be provided when the software update is available. On 7/8/22 updated Service Bulletin was sent to the distributor notifying them the software update was available. Field technicians will upgrade affected devices with software version 5.2.1.1.
Quantity in commerce
47
Distribution
International distribution to the country of South Korea.
Product codes and lots
UDI-DI: 00856893004065; Software Versions 5.1 or 5.2; Serial Numbers Between xx0001 and xx0160

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1639-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1639-2022Class IICompletedVoluntary: Firm initiated