Events

Safety Alert for BD Alaris System PC unit Model 8015

According to Department of Health, this safety alert involved a device in Hong Kong that was produced by BD.

What is this?

Alerts provide important information and recommendations about products. Even though an alert has been issued, it does not necessarily mean a product is considered to be unsafe. Safety Alerts, addressed to health workers and users, may include recalls. They can be written by manufacturers, but also by health officials.

Learn more about the data here
  • Type of Event
    Safety alert
  • Date
    2017-07-26
  • Event Date Posted
    2017-07-26
  • Event Country
    Hong Kong
  • Event Source
    DH
  • Event Source URL
    https://www.mdco.gov.hk/english/safety/recalls/recalls_20170726b.html
  • Notes / Alerts
    Hong Kong data is current through September 2018. All of the data comes from the Department of Health (Hong Kong), 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 data from the U.S. and Hong Kong.
  • Extra notes in the data
    Medical Device Safety Alert
  • Reason
    Medical device safety alert: bd alaris system pc unit model 8015 the health sciences authority (hsa) of singapore has posted a medical device safety alert regarding alaris system pc unit model 8015, manufactured by bd. according to the safety alert issued by the manufacturer, system error 255-16-275 can occur when a user selects two functions at the same time/rapid succession or not following typical workflows. this results in a synchronization issue between the pc unit and the modules. below are five examples: closing the pump module door and in rapid succession (less than 1 second apart) pressing start. priming and starting system in pause state and then attempting to remove the new syringe. starting an infusion using the delay options. then confirming the delay entry and pressing channel select on another module at the same time. locking pca door before confirming on screen popup that occurs on another module. pressing channel off on two syringe modules after completion of infusions at the same time. the system error would result in a non-silence-able, high priority alarm and status indicator lights on modules will flash red. the pc unit displays an error code of 255-16-275. if the system error occurs, all attached modules that are actively infusing will continue to infuse without the ability to titrate infusion parameters. the user may decide to reboot the system or re-program the device to titrate the infusion and/or to silence the alarms. this could result in the clinical decision to interrupt the infusions. an interruption in infusion can result in serious injury. the affected alaris system will not need to be remediated. affected users are instructed to refer to the user manual addendum to avoid the occurrence of this system error. for details, please refer to the hsa website: http://www.Hsa.Gov.Sg/content/hsa/en/health_products_regulation/medical_devices/product_owners_fsn/2017/june.Html posted on 26 july 2017.

Device

BD Alaris System PC unit Model 8015
  • Model / Serial
  • Product Description
    Medical Device Safety Alert: BD Alaris System PC unit Model 8015
  • Manufacturer
    BD

Manufacturer

BD