Recall – Power failure confuses software

Company: Fresenius Medical Care Renal Therapies Group, LLC
Date of Enforcement Report: 9/26/2018
Class II:

2008T HEMODIALYSIS SYS, WITH CDX, Part Number 190713, Applicable only with 2008T BlueStar Premium Upgrade Kit, Part Number 191138

Product Usage: Indicated for acute and chronic dialysis therapy

Recall Number: Z-3194-2018

In the hemodialysis machine during the cleaning/disinfection program, when there is a power failure or interruption, the dialysis program button should be greyed out when the machine is powered up and a mandatory rinse should be required. However, if a power failure or interruption occurs during the cleaning/disinfection program with the auto-start feature enabled, the machine enters the dialysis program even though the dialysis program button is disabled and the mandatory rinse has not been performed. As a result, disinfecting chemical may not be completely removed from the machine before starting a treatment and disinfectant could exist in the dialysate delivered to the patient. .

Fresenius Medical Care Renal Therapies Group, LLC, Waltham, MA on 7/13/2018 Voluntary: Firm Initiated recall is ongoing.


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