Medical Device
Manufacturing
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Z-0734-2023Class II

2008T and 2008TBluestar Hemodialysis Machines with CDX-Indicated for acute and chronic dialysis therapy in a...

Fresenius Medical Care Renal Therapies Group, LLC / initiated 2022-07-27 / Open, Classified / root cause: manufacturing process

Fresenius Medical Care Holdings, Inc. began a recall of 2008T and 2008TBluestar Hemodialysis Machines with CDX-Indicated for acute and chronic dialysis therapy in a healthcare facility Models: (1) 190713 2008T... on . FDA classified it as Class II and gives the reason as "(1)Software version 2.74 upgrade and (2)hardware related cause that affects only CDX Machines, has been identified as the UI-MICs Board is sensitive to Electromagnetic Interference (EMI) which will cause the false alarm...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0734-2023
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Fresenius Medical Care Renal Therapies Group, LLC
Product
2008T and 2008TBluestar Hemodialysis Machines with CDX-Indicated for acute and chronic dialysis therapy in a healthcare facility Models: (1) 190713 2008T HEMODIALYSIS SYS., with CDX; (2) 190766 2008T HEMODIALYSIS SYSTEM W/BIBAG W/CDX ; (3) 191124 2008T HD SYS. CDX BLUESTAR; (4) 191126 2008T HD SYS. CDX W/BIBAG BLUESTAR
Product code
KDI Dialyzer, High Permeability With Or Without Sealed Dialysate System
Reason for recall
(1)Software version 2.74 upgrade and (2)hardware related cause that affects only CDX Machines, has been identified as the UI-MICs Board is sensitive to Electromagnetic Interference (EMI) which will cause the false alarm "Remove USB 2 Device".
Root cause tag
manufacturing process
FDA root cause
Process design
Action
Fresenius issued Updated Urgent Medical Device Correction REV B Customer Notification letter (Field Action Number: FA-2020-09-W _REV B) to consignees that have CDX equipped machines on 07-27-2022 via USPS First Class Mail. Letter states reason for recall, health risk and action to take: First, a software issue in SW versions 2.72 and earlier. All machines should be updated to current software (SW version 2.74), pursuant to the July 20, 2021, letter. Second, hardware issue that affects only CDX machines. To reduce the chance of EMI causing a false Remove USB Device 2 alarm from occurring we suggest the following: " Insert a USB device in USB Port 2 that will continually draw current. For example, a blank USB memory stick or a USB powered card reader. o NOTE: DO NOT use passive USB devices in USB Port 2 that go into a suspended state drawing minimal/low current which can trip the sensing circuit. An example would be a USB corded optical mouse. Complete/Return the response form enclosed.
Quantity in commerce
2008T with CDX= 70,552 2008T Bluestar with CDX= 25,205
Distribution
US Nationwide distribution.
Product codes and lots
Software issue in SW versions 2.72 and earlier with CDX. UDI: (1) 00840861100897; (2) 00840861100910; (3) 00840861102082; (4) 00840861102099

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0734-2023
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0734-2023Class IIOngoingVoluntary: Firm initiated