Recall of MONITOR WITH TWO BLOOD PARAMETER MODULES AND ONE HCT/SAT PROBE

According to Health Canada (via FOI), this recall involved a device in Canada that was produced by RYAN MEDICAL DISTRIBUTORS INC..

What is this?

A correction or removal action taken by a manufacturer to address a problem with a medical device. Recalls occur when a medical device is defective, when it could be a risk to health, or when it is both defective and a risk to health.

Learn more about the data here
  • Type of Event
    Recall
  • Event ID
    32881
  • Event Risk Class
    II
  • Event Initiated Date
    2015-08-25
  • Event Country
  • Event Source
    HC
  • Notes / Alerts
    Canadian data is current through March 2018. All of the data comes from Health Canada, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of recall data from the U.S. and Canada.
  • Extra notes in the data
  • Reason
    Terumo cardiovascular systems (terumo cvs) has determined that changes made when upgrading cdi system 500 software from version 1.65 to version 1.69 were not expected or fully understood by users and that the following user instructions need to be clarified: in-vivo calibration: measured values prior to initial in-vivo calibration may not be used for patient management. at the beginning of a case you must complete calibration of all measurable blood parameters by comparing them to a laboratory measurement done on a blood sample. the values are dimmed on the cdi system 500 screen to indicate that the values are not accurate until an initial in-vivo calibration is performed. operating ranges: if a lab measured value is outside the operating range for a parameter you may not be able to adjust the cdi system 500 measured value to the lab measured value. accuracy has not been established for displayed values outside the operating range. therefore displayed values outside the operating range should not be used for patient management. while this condition exists continue patient management with another source (i.E. laboratory or point-of-care blood gas analyzer). see cdi system 500 operating ranges: reference table for system accuracy limits. temperature: the temperature measured by the shunt sensor is local to the sensor and does not reflect the actual patient arterial temperature. do not use this measurement for patient management.

Device

  • Model / Serial
    Model Catalog: 500 AV HCT (Lot serial: 0012 - 7369); Model Catalog: 500A HCT (Lot serial: 0012 - 7369)
  • Product Description
    CDI BLOOD PARAMETER MONITORING SYSTEM 500 - MONITOR WITH TWO BLOOD PARAMETER MODULES AND ONE HCT/SAT PROBE
  • Manufacturer

Manufacturer