Safety Alert Or Field Safety Notices for Novaline haemodialysis bloodlines used with Baxter/Gambro haemodialysis machines

According to Medicines and Healthcare products Regulatory Agency, this safety alert or field safety notices involved a device in United Kingdom that was produced by Vital Healthcare Sdn for distribution by Baxter Healthcare Ltd.

What is this?

Field safety notices are communications sent out by medical device manufacturers or their representatives in relation to actions that they may be taking in relation to their product that is on the market. These are mainly for health workers, but also for users. They can include recalls and alerts.

Learn more about the data here
  • Type of Event
    Safety alert / Field Safety Notice
  • Date
    2018-07-12
  • Event Date Posted
    2018-07-11
  • Event Country
  • Event Source
    MHRA
  • Event Source URL
  • Notes / Alerts
    Data from the United Kingdom is current through April 2019. All of the data comes from the Medicines and Healthcare products Regulatory Agency, 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 the United Kingdom.
  • Extra notes in the data
    Although the manufacturer has undertaken corrective actions to address some of the problems identified in the FSN, some ongoing checks are required when using the redesigned bloodlines.User checks for the following problems should be taken when using all models and manufacture dates of Novaline bloodlines:Problem
    Risk
    Action
    Blood pump on the machine does not stop when blood reaches the venous extracorporeal blood circuit.
    Blood loss
    Operator to check that the blood pump stops when blood reaches the venous drip chamber. If the operator recognises that the pump may not stop, Operator should stop the blood pump manually and then connect the patient
    Transducer protectors not connected properly
    Air entrance into the circuit
    Operator to check connections as per section 5.4 of IFU
    Rare events of improper or incorrect fitting between arterial chamber and machine holders
    Risk of air within the arterial chamber entering the bloodline circuit
    Operator must check that the arterial chamber is placed at the right hole of the holder suiting its size and is properly fitted in
  • Reason
    Manufactured by vital healthcare sdn for distribution by baxter healthcare ltd – specific product codes manufactured in 2017 have functional and assembly issues which may lead to air entering the system, blood loss, clotting and delays in treatment.
  • Action
    Quarantine and return affected bloodlines Identify appropriate alternatives If suitable alternatives are not available, you should: undertake a local risk assessment prior to using the affected devices ensure users are aware of the seven problems listed within the FSN and are able to carry out the additional monitoring checks for each problem Ensure users continue to undertake checks for the problems listed in the Background section once redesigned 2018 models of Novaline bloodlines are in use. Share this information with home patients and satellite clinics who have been supplied with the affected products

Device

  • Model / Serial
  • Product Description
    The bloodlines are manufactured by Vital Healthcare Sdn Bhd, for distribution by Baxter International Inc (Baxter Healthcare Ltd in UK).The bloodlines are used with Baxter/Gambro haemodialysis machines – see table below for machines that use the specific codes affected by the FSCA:Model of dialysis bloodline Product code NDC code (Scotland) Used with Baxter/Gambro haemodialysis machine BL 106 955443   Baxter AK 95 S, AK 96, AK 98, AK 200 S & AK 200 ULTRA S BL 224 955446   Baxter AK 200 S and AK 200 ULTRA S BL 24 955307   Baxter AK 95 S, AK 96, AK 98, AK 200 S BL 208 955445   Baxter AK 200 S and AK 200 ULTRA S BL 207 955448   Baxter AK 96, AK 98, AK 200 S, AK 200 ULTRA S BL 211 SN 955447   Baxter AK 200 S, AK 200 ULTRA S BL 148 SN 955305   Baxter AK 200 S, AK 200 ULTRA S BL200 HDF 955444 223978 Baxter AK 200 ULTRA S BL 10R 955300   Baxter AK 95 S, AK 96, AK 98, AK 200 & AK 200 ULTRA BL 245 955449 222896 Baxter AK 95 S, AK 96, AK 98, AK 200 S & AK 200 ULTRA S
  • Manufacturer

Manufacturer

  • Manufacturer Address
    Distributor – Baxter Healthcare Ltd. Gerard Spicer Tel: 01604 704 665gerard_spicer@baxter.com
  • Manufacturer Parent Company (2017)
  • Source
    MHRA