Medical Device
Manufacturing
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Z-0142-2023Class I

Hillrom Hospital Bed Accessory, Watch Care Incontinence Management System for Centrella Bed, Product...

Baxter Healthcare Corporation / initiated 2022-09-30 / Open, Classified / root cause: design

Baxter Healthcare Corporation began a recall of Hillrom Hospital Bed Accessory, Watch Care Incontinence Management System for Centrella Bed, Product Code/Part Number P00697905 on . FDA classified it as Class I and gives the reason as "Radio frequency emission from a functioning WatchCare device may potentially impact other devices (including, but not limited to telemetry devices, bladder scanner, fetal monitor/doppler, infusion pumps, and insulin...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-0142-2023
Classification
Class I
Status
Open, Classified
Initiated
Posted
Recalling firm
Baxter Healthcare Corporation
Product
Hillrom Hospital Bed Accessory, Watch Care Incontinence Management System for Centrella Bed, Product Code/Part Number P00697905
Product code
KPN Alarm, Conditioned Response Enuresis
Reason for recall
Radio frequency emission from a functioning WatchCare device may potentially impact other devices (including, but not limited to telemetry devices, bladder scanner, fetal monitor/doppler, infusion pumps, and insulin pumps).
Root cause tag
design
FDA root cause
Device Design
Action
Baxter issued an Urgent Medical Device Correction on 09/30/2022. An updated letter was sent on 10/21/2022 to request that users temporarily stop using the WatchCare system. Hillrom, a Baxter company, has received reports of Radio Frequency (RF) interference with other devices near beds that are installed with WatchCare. Specifically, RF interference has been reported with telemetry devices, a bladder scanner, a fetal monitor/doppler, an infusion pump, and a personal use insulin pump. Other third-party medical devices may also be affected. While the system was developed to comply with the most-recent RF standards, it radiates RF that might affect other devices in the vicinity, including devices on both patients and staff members. Given the types of devices that may be affected on both patients and staff, serious harm or death may occur. No serious injuries or deaths reported. Actions to be taken: 1. Immediately locate all affected devices and remove them from clinical care areas (where possible) until the WatchCare functionality is disabled. Affected devices are those Centrella, Progressa and Versacare beds which have WatchCare functionality. Baxter will contact you to arrange for WatchCare to be disabled. Please contact Baxter at 1(800) 445- 3720 or [email protected] for assistance or discuss alternative actions while you wait for the WatchCare feature to be disabled. 2. Be aware that RF emission from a functioning WatchCare device may potentially impact other devices (including, but not limited to, telemetry devices, bladder scanners, fetal monitor/dopplers, infusion pumps, and insulin pumps/blood glucose sensors). Please double-check all unexpected or atypical results and monitor infusions closely. 3. While Baxter continues to work to determine the etiology of this problem and the issue is resolved, use standard, non-RF-based, incontinence management pads. On April 06, 2023, an updated Medical Device Correction letter was sent to customers to infor
Quantity in commerce
814 units
Distribution
US
Product codes and lots
UDI/DI 887761984998, all serial numbers

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0142-2023
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0141-2023Class IOngoingVoluntary: Firm initiated
Z-0142-2023Class IOngoingVoluntary: Firm initiated
Z-0143-2023Class IOngoingVoluntary: Firm initiated
Z-0144-2023Class IOngoingVoluntary: Firm initiated
Z-0145-2023Class IOngoingVoluntary: Firm initiated