Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1540-2008

CareVue Chart Release C ,Versions C.00.00 through C.00.06 Product No. 862246. This device is a clinical...

Philips North America LLC / initiated 2008-03-04 / Terminated / root cause: software

Philips Medical Systems began a recall of CareVue Chart Release C ,Versions C.00.00 through C.00.06 Product No. 862246. This device is a clinical information system intended for use in data collection... on . The reason FDA records is "Medications prescribed for one patient were printed on the record of another patient". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1540-2008
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Philips North America LLC
Product
CareVue Chart Release C ,Versions C.00.00 through C.00.06 Product No. 862246. This device is a clinical information system intended for use in data collection, storage, and management with independent bedside devices, and other systems that are connected either directly or through networks. It is used when there is a need for generating patient records and computation of drug dosage.
Product code
DXJ Display, Cathode-Ray Tube, Medical
Reason for recall
Medications prescribed for one patient were printed on the record of another patient.
Root cause tag
software
FDA root cause
Software design
Action
Philips Medical issued letter notification, dated 29 Feb 2008 to customers titled; "Urgent Medical Device Correction Notice". Customers were asked to not solely rely on the Worklist to remind them when to administer orders or interventions until the software has been upgraded. Customers should review the reminders and verify orders and interventions on the Medication Administration Record and Administration record. The correction will be in the form of a software upgrade and will be performed remotely by Philips service personnel.
Quantity in commerce
138 for products
Distribution
Nationwide Canada, Australia, Austria, Belgium, Denmark., France, Finland, Germany, Great Britain, Italy, Malaysia, Saudi Arabia, Singapore, Spain, Sweden, Switzerland, Taiwan, and UAE
Product codes and lots
Softwarre versions: C.00.00 through C.00.06