Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1011-2011

ABL90 FLEX Blood Analyzer Part Number: 393-090. Intended for use by trained technologists, nurses, physicians...

Radiometer America, Inc / initiated 2010-11-01 / Terminated / root cause: software

Radiometer America Inc began a recall of ABL90 FLEX Blood Analyzer Part Number: 393-090. Intended for use by trained technologists, nurses, physicians and therapists and for use in a laboratory... on . The reason FDA records is "Due to a software error, a patient mix up can occur on the ABL90. If a sample is pre-registered and the sample "fails" the next result will inherit the patient data from the previous result". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1011-2011
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Radiometer America, Inc
Product
ABL90 FLEX Blood Analyzer Part Number: 393-090. Intended for use by trained technologists, nurses, physicians and therapists and for use in a laboratory environment, near patient or point-of-care setting. Also, Intended for in vitro testing of samples of heparinized whole blood.
Product code
CEM Electrode, Ion Specific, Potassium
Reason for recall
Due to a software error, a patient mix up can occur on the ABL90. If a sample is pre-registered and the sample "fails" the next result will inherit the patient data from the previous result.
Root cause tag
software
FDA root cause
Software design
Action
On 11/16/10 the firm sent Medical Device Field Correction letters to their customers. The letter states that all systems will be upgraded and until each system is upgraded, they instructed their customer to "always query for patient ID prior to introducing the sample." They also instruct each customer to complete the "Fax Return Form" acknowledging receipt of the letter. If customers have questions regarding the letter or the upgrade, they should contact Technical Support at 1-800-736-0600 Opt 4.
Quantity in commerce
432 units
Distribution
Worldwide Distribution -- USA, including states of MI, NJ, & PA and countries Australia, Austria, Belgium, Denmark, Finland, France, Germany, Indonesia, Italy, Japan, Kuwait, Malaysia, Netherlands, Norway, Poland, Russia, Spain, Sweden, Switzerland, United Arab Emirates & United Kingdom.
Product codes and lots
S/N 393-090R0059N007, 393-090R0061N008 & 393-090R0061N009