Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0397-05

HomeChoice PRO Automated Peritoneal Dialysis Systems; Manufactured for Baxter Healthcare Corporation...

Baxter Healthcare Renal Div / initiated 2004-12-23 / Terminated / root cause: software

Baxter Healthcare Renal Div began a recall of HomeChoice PRO Automated Peritoneal Dialysis Systems; Manufactured for Baxter Healthcare Corporation, Deerfield, IL 60015 U.S.A., Made in U.S.A.; catalog... on . The reason FDA records is "A software anomaly may allow concentrated solution to be infused into the patient when the HomeChoice unit is used with Physioneal Clear-Flex PD products". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0397-05
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Baxter Healthcare Renal Div
Product
HomeChoice PRO Automated Peritoneal Dialysis Systems; Manufactured for Baxter Healthcare Corporation, Deerfield, IL 60015 U.S.A., Made in U.S.A.; catalog numbers 5C8310, 5C8310R, R5C8320, R5C8320R
Product code
FKX System, Peritoneal, Automatic Delivery
Reason for recall
A software anomaly may allow concentrated solution to be infused into the patient when the HomeChoice unit is used with Physioneal Clear-Flex PD products.
Root cause tag
software
FDA root cause
Other
Action
Baxter notified the Danish Ministry of Health of the problem with the HomeChoice Pro not prompting the patient when using the Physioneal Clear-Flex PD products on 12/23/04. The patients in Denmark and Sweden will be re-evaluate and re-train each patient as needed using enhanced training materials, which will include the importance of and the rationales for breaking the peel-seal on teh Physioneal ClearFlex prior to use and what to do if mis-infusion occurs. Larger, adhesive, colored stickers will be affixed to all applicable HomeChoice Pro machines to further remind patients of the need to break all peel-seals prior to use. Patients will receive a new Pro-Card when their machine is exchanged, and the exchange will be documented. The HomeChoice Pro software will be updated to correct the software anomaly, validated and installed on the HomeChoice Pro machines.
Quantity in commerce
165 units
Distribution
Those HomeChoice units in Denmark and Sweden only, where the Physioneal Clear-Flex products are approved for use.
Product codes and lots
Units with software version 8.7 used with Physioneal Clear-Flex PD products