Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1492-2025Class II

Terumo CDI OneView Monitoring System Hematocrit / Oxygen Saturation Probe, Catalog Number REF CD1754

Terumo Cardiovascular Systems Corporation / initiated 2025-03-03 / Open, Classified / root cause: software

Terumo Cardiovascular Systems Corporation began a recall of Terumo CDI OneView Monitoring System Hematocrit / Oxygen Saturation Probe, Catalog Number REF CD1754 on . FDA classified it as Class II and gives the reason as "During some clinical cases, it has been observed that the SO2 value may periodically appear as dashes on the Touchscreen Display indicating unavailable data. In these cases, a yellow low-limit alarm will also be...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as software.

Recall record

Recall number
Z-1492-2025
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Terumo Cardiovascular Systems Corporation
Product
Terumo CDI OneView Monitoring System Hematocrit / Oxygen Saturation Probe, Catalog Number REF CD1754
Product code
DRY Monitor, Blood-Gas, On-Line, Cardiopulmonary Bypass
Reason for recall
During some clinical cases, it has been observed that the SO2 value may periodically appear as dashes on the Touchscreen Display indicating unavailable data. In these cases, a yellow low-limit alarm will also be triggered to the user, due to the dashed-out value.
Root cause tag
software
FDA root cause
Software design
Action
Terumo Cardiovascular issued an URGENT MEDICAL DEVICE REMOVAL notice to its consignees on 03/03/2025 via email. The notice explained the reason for the removal, potential hazard, and requested the following: 1. Review this Medical Device Correction and assure that all users have received notice of this issue. 2. Confirm receipt of this communication by completing and returning the attached Customer Response Form as indicated on the form. 3. Terumo CVS will contact users to discuss removal and correction activities. Note: Terumo CVS recommends that users continue using CDI OneView System H/S Probes while waiting for this removal
Quantity in commerce
37 units
Distribution
US: IL, TX, NY, MI, FL, NV, and Australia, New Zealand
Product codes and lots
UDI/DI 00886799001882, Serial Number range: H0050095-H0050110, H0050112-H0050116, H0050118-H0050124, H0050126, H0050131-H0050134, H0050136, H0050140-H0050142

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1492-2025
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1492-2025Class IIOngoingVoluntary: Firm initiated