Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0175-06

Lysus Infusion System - PT-3 Control . The Lysus Infusion System employs high frequency (2-2.5 MHz), low...

EKOS Corporation / initiated 2005-01-18 / Terminated / root cause: software

Ekos Corp began a recall of Lysus Infusion System - PT-3 Control . The Lysus Infusion System employs high frequency (2-2.5 MHz), low power (0.45 watt average power per transducer)... on . The reason FDA records is "Potential for a faulty thermal channel offset to be reported to the software causing faulty lower temperature values to be reported which allow a power increase". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0175-06
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
EKOS Corporation
Product
Lysus Infusion System - PT-3 Control . The Lysus Infusion System employs high frequency (2-2.5 MHz), low power (0.45 watt average power per transducer) ultrasound to facilitate the delivery of physician-specified fluids in the peripheral vasculature. (This system is also called the UltraFlo and EKOS Peripheral Infusion System in internal documents.) The Lysus Infusion System consists of three main components, a single use Lysus Infusion Catheter System which is comprised of a Drug Delivery Catheter (DDC) and removable Ultrasound Core (USC), and a reusable EKOS PT-3 Control System. During use, fluids are delivered through the side-holes of the DDC. The USC is placed through the central lumen of the DDC to deliver ultrasound energy along the length of fluid delivery, dispersing the fluid into the intravascular treatment site. The reusable EKOS PT-3 Control Unit provides power to the system and the user interface for operator control. A reusable, non-sterile Catheter Interface Cable with Pod connects the EKOS PT-3 Control Unit to the Lysus Infusion Catheter System.
Product code
KRA Catheter, Continuous Flush
Reason for recall
Potential for a faulty thermal channel offset to be reported to the software causing faulty lower temperature values to be reported which allow a power increase.
Root cause tag
software
FDA root cause
Other
Action
On 1/19/05 the firm began visiting consignees and upgrading software.
Quantity in commerce
7
Distribution
The device was distributed to 6 hospitals/medical centers; 1 each located in AZ, OH, WA, FL, IL, and. CA. One consignee is located Germany.
Product codes and lots
Serial numbers PT3-002, PT3-006, PT3-007, PT3-009, PT3-012, PT3-013, PT3-014