This February 2020 Standards Navigator Report content is only available to Standards Navigator subscribers.  See our Subscribe page for information on subscriptions. SoftwareCPR Standards Navigator Report provides information and tools related to standards that play a significant role in health software and software intensive medical devices. In addition to information on existing standards, SoftwareCPR Standards...Read More

Company: Dexcom Inc Date of Enforcement Report: 2/12/2020 Class II PRODUCT Dexcom Receiver, REF: MT22719, (Black, Pin, Blue), Rx Only, containing software version SW10617 and revision 4.0.1.048 – Product Usage: A non-adjunctive invasive glucose sensor is intended to determine glucose levels, and the direction and rate of change of glucose levels in people with diabetes....Read More

Kicking off the new year with regulatory and standards updates.  New public courses in 2020!Read More

FDA is raising awareness among health care providers and facility staff that cybersecurity vulnerabilities in certain GE Healthcare Clinical Information Central Stations and Telemetry Servers may introduce risks to patients while being monitored.  Per the FDA notice: “A security firm has identified several vulnerabilities in certain GE Healthcare Clinical Information Center workstations and Telemetry Servers,...Read More

Company: Degania Silicone, Ltd. Date of Enforcement Report: 1/22/2020 Class II PRODUCT Medline Thermistor Foley Catheter 14 FR 5-10 ml, non sterile Catalog Number: 102201101463MD {Medline code 55346) Monitor urinary output and bladder temperature in addition to facilitating urine drainage. Recall Number: Z-0809-2020 REASON Temperature deviation did not meet release specifications. RECALLING FIRM/MANUFACTURER Degania Silicone,...Read More

Company: St Jude Medical, Cardiac Rhythm Management Division Date of Enforcement Report: 1/22/2020 Class II PRODUCT Merlin PCS Programmer software model 3330, used with Confirm Rx Insertable Cardiac Monitor (ICM), Model DM3500, Sterile. The firm name on the label of the ICM is St. Jude Medical Cardiac Rhythm Management Division, Sylmar, CA. – Product Usage:...Read More

Company: GE Healthcare, LLC Date of Enforcement Report: 1/22/2020 Class I PRODUCT CARESCAPE Respiratory Module E-sCO Recall Number: Z-0754-2020 CARESCAPE Respiratory Module E-sCOVX Recall Number: Z-0755-2020 CARESCAPE Respiratory Module E-sCAiO Recall Number: Z-0756-2020 CARESCAPE Respiratory Module E-sCAiOV Recall Number: Z-0757-2020 CARESCAPE Respiratory Module E-sCAiOE Recall Number: Z-0758-2020 CARESCAPE Respiratory Module E-sCAiOVE Recall Number: Z-0759-2020 Airway...Read More

The U.S. Food and Drug Administration (FDA) inspected your drug manufacturing facility, Tismor Health and Wellness Pty Limited, FEI 3008932054, at 19a Garema Cct, Kingsgrove, from May 20 to 24, 2019. This warning letter summarizes significant violations of current good manufacturing practice (CGMP) regulations for finished pharmaceuticals. See 21 CFR, parts 210 and 211. Because your...Read More

How do I know if my device or my software is a medical device? Watch this helpful video and learn about the 513(g) process as well.  SoftwareCPR can help you plan your regulatory strategy and handle your regulatory submissions.  We would be delighted to help!Read More

The Institute of Electrical and Electronics Engineers (IEEE) has approved a proposal to develop a standard for safety considerations in automated vehicle (AV) decision-making.  Purportedly, the “forthcoming IEEE standard will provide a useful tool to answer the question of what it means for an AV to drive safely,” according to the lead convener.  With technology...Read More

Company: RAYSEARCH LABORATORIES AB Date of Enforcement Report: 1/1/2020 Class II PRODUCT RayStation stand-alone software treatment planning system, Model Numbers 4.0, 4.5, 4.7, 4.9, 5.0, 6.0, 6.1, 6.2, 6.3, 7.0, 8.0, 8.1, 9.0 – Product Usage: RayStation is a software system designed for treatment planning and analysis of radiation therapy. The treatment plans provide treatment...Read More

Company: GE Healthcare, LLC Date of Enforcement Report: 1/1/2020 Class II PRODUCT ApexPro Telemetry System – Product Usage: The ApexPro Telemetry System is intended for use under the direct supervision of a licensed healthcare practitioner. The system is designed to acquire and monitor physiological data for ambulating patients within a defined coverage area. The system...Read More

Company: LivaNova USA Inc Date of Enforcement Report: 1/1/2020 Class I PRODUCT VNS Therapy, SenTiva, Model # 1000, (01)05425025750405, Rx Only for vagal nerve stimulation (VNS) therapy Recall Number: Z-0561-2020 REASON Certain Model 1000 generators (SN = 100,000) have experienced unexpected device resets, which resulted in disablement of therapy. Fourteen (14) complaints have been reported....Read More

Company: Carl Zeiss Meditec, Inc. Date of Enforcement Report: 12/25/2019 Class II PRODUCT VisuMax Software Version 2.10.13 with activated Software-Module ReLEx (SMILE) option used in conjunction with the VisuMax Femtosecond Laser System for Refractive Correction. Catalog Number 0000000-1345-518 Product Usage: The VisuMax Femtosecond Laser is a precision ophthalmic surgical laser designed for the creation of...Read More

Company: GE Healthcare, LLC Date of Enforcement Report: 12/25/2019 Class II PRODUCT Aestiva MRI, Model Numbers: a) 1006-9310-000 b) 1006-9110-000 c) 1006-9023-000 d) 1006-9028-000 e) 1006-9310-000-305077 f) 1006-9310-000-015243 g) 1006-9310-000-017602 h) 1006-9310-000-103785 I) 1006-9310-000-025109 j) 1006-9310-000-009650 k) 1006-9310-000-015224 l) 1006-9310-000-031881 m) 1006-9310-000-031854 n) 1006-9310-000-026571 Recall Number: Z-0114-2020 REASON Certain Aespire and Aestiva Anesthesia Systems were...Read More

The UK’s Medicines and Healthcare Products Regulatory Agency (MHRA) announced it has recalled GE’s ApexPro telemetry server after multiple reported events of monitoring equipment not providing visual or audible alarms for ECG arrythmias, lead failures or SpO2 monitoring. The potential safety issues are: Patients can experience ECG arrhythmias before and after a “no telem” condition and...Read More

Company: Smiths Medical ASD Inc. Date of Enforcement Report: 12/16/2019 Class I PRODUCT Medfusion Syringe Pump, Model 4000. The Model 4000 pump is a small, lightweight and portable syringe infusion pump. The pump offers a variety of delivery modes programmable to meet specific patient care needs. Recall Number: Z-0610-2020 REASON There is an anomaly in...Read More

Company: Siemens Medical Solutions USA, Inc Date of Enforcement Report: 11/20/2019 Class II PRODUCT Software versions syngo CT VB20 running on the following Siemens SOMATOM CT Scanner. SOMATOM Force (Model #10742326), SOMATOM Definition As (Model #8098027), SOMATOM Definition Edge (Model #10590000), SOMATOM Definition Flash (Model #10430603), SOMATOM Drive (Model #10431700), SOMATOM Confidence (Model #10590100), and...Read More

Company: Draegar Medical Systems, Inc. Date of Enforcement Report: 11/20/2019 Class II PRODUCT Infinity M300 telemetry monitoring device Software versions VG2.3.1 and lower, Model Numbers MS25755, MS26076, MS26031, MS18623, MS22862, MS25301 Recall Number: Z-0372-2020 REASON The devices have potential cybersecurity vulnerabilities, which can include Distributed Denial of Service (DDoS), Spoofing, and Tampering. RECALLING FIRM/MANUFACTURER Draegar...Read More

Company: Abiomed, Inc. Date of Enforcement Report: 11/13/2019 Class II PRODUCT lmpella CP with Smart Assist, Model Number: 0048-0003. Left heart support blood pump, for Use During Cardiogenic Shock and High-Risk PCI Recall Number: Z-0345-2020 REASON This one pump shipped with incorrect pump programming, the initial production working version of the program. The pump would...Read More

Company: Baxter Healthcare Corporation Date of Enforcement Report: 11/13/2019 Class II PRODUCT Prismaflex Control Unit, software versions below 7.21 Recall Number: Z-0276-2020 REASON Communication error alarms may result in interruption of therapy, delay in therapy, or blood loss due to non-restitution of blood in the extracorporeal circuit. RECALLING FIRM/MANUFACTURER Baxter Healthcare Corporation on 10/4/2019. Voluntary: ...Read More

Company: Medtronic Inc. Date of Enforcement Report: 11/13/2019 Class I PRODUCT Minimed Model 500 Remote Control for use with the MiniMed 508 Insulin Pump, model number MMT-500RU. Recall Number: Z-0177-2020 REASON There is a potential security vulnerability related to the use of the remote controller accessories with the insulin pumps. RECALLING FIRM/MANUFACTURER Medtronic Inc. on...Read More

Company: Insulet Corporation Date of Enforcement Report: 11/13/2019 Class II PRODUCT Omnipod DASH Insulin Management System, Product Catalog Number 18239 M/D: PDM USA1 D001 MG USA1 Recall Number: Z-0347-2020 REASON There is a potential for a communication interruption following a bolus command that may result in inaccurate information presented in insulin on board (IOB), last...Read More

Company: Zimmer Biomet Date of Enforcement Report: 11/7/2019 Class I PRODUCT The ROSA Brain device is a robotic platform that assists neurosurgeons in positioning medical instruments or implants during surgery. The device is composed of a compact robotic arm and a touch screen mounted on a stand. Different types of instruments may be attached to...Read More

Company: Medical Components, Inc dba MedComp Date of Enforcement Report: 11/6/2019 Class II PRODUCT C3 Wave App, v. 2.0.5 Recall Number: Z-0222-2020 REASON When the iPad is updated with Apple iOS software version 12, the C3 application malfunctions. Upon launching a new procedure, the ECG waves do not appear on the screen, in surface or...Read More

This new draft guidance explains when a Type V DMF may be used to submit information regarding a combination product for which the Center for Drug Evaluation and Research (CDER) has primary jurisdiction (i.e., CDER-led combination product) and the device portion has electronics and/or software that is planned to be used as a platform, that is,...Read More

A probe into a series of engine failures on Airbus’s smallest jet, the A220, is studying whether a software change set off unexpected vibrations that damaged fast-moving parts and forced three emergency landings. Investigators are focusing their attention on recent changes in engine software that may have caused parts that compress air inside the engine...Read More

Registration for our 62304 and Emerging Standards software course February 4-6, 2020, in Sunnyvale, CA is in full swing!  Onward to higher software quality – keep pressing forward!Read More

Company: GE Healthcare, LLC Date of Enforcement Report: 10/23/2019 Class II PRODUCT ApexPro Telemetry Server System. Also identified as Modification To: ApexPro Telemetry System and ApexPro FH Telemetry System – Product Usage: These systems are typically deployed in sub acute care areas in hospitals or clinical sites where patient mobility can enhance the effectiveness of...Read More

Company: Abbott Laboratories, Inc Date of Enforcement Report: 10/16/2019 Class II PRODUCT Alinity S System, Part Number 06P16-01 Recall Number: Z-0111-2020 REASON Two software issues have been identified for the Alinity S System containing software version 2.0.0: Alinity’s Probe Wash: When Alinity’s CMV IgG Qualitative assay is run as the last assay on a sample,...Read More

One of the first steps on the marketing pathway for a medical device is to classify your device. As technology and innovation continue to advance, determining how to classify a device can be complex and challenging. This session will provide information on interacting with FDA for device determination and an introduction to Section 513(g) Requests...Read More

The United States Food and Drug Administration (FDA) conducted an inspection of your firm’s medical device operations at Denterprise International, Inc., 100 E. Granada Blvd. Ste. 219, Ormond Beach, Florida, from May 1, 2019 to May 6, 2019. During the inspection, an FDA investigator determined that your firm is a specifications developer, manufacturer of the...Read More

Company: WOM World of Medicine AG Date of Enforcement Report: 10/9/2019 Class II PRODUCT Aquilex Fluid Control System component: Bag deflector, REF AQL-100CBS Product Usage: Distends uterus with fluid during diagnostic and operative hysteroscopies. Recall Number: Z-2767-2019 REASON The deficit displayed by the pump can differ from the real deficit, leading potentially to patient risk....Read More

Company: ELITech Group B.V. Date of Enforcement Report: 10/9/2019 Class III PRODUCT Viva-ProE Systems, Model # 6003-670, UDI: 03661540600357 – Product Usage: The ELITech Clinical Systems Selectra ProM is an automated clinical chemistry system intended for use in clinical laboratories. It is intended to be used for a variety of assay methods that have been...Read More

Company: Elekta Inc Date of Enforcement Report: 10/2/2019 Class II PRODUCT Monaco RTP System, 5.40 Unity, radiation treatment planning system Product Usage: The Monaco system is used to make treatment plans for patients with prescriptions for external beam radiation therapy. The system calculates dose for photon, electron, and carbon treatment plans and displays, on-screen and...Read More

Company: GE Healthcare, LLC Date of Enforcement Report: 10/2/2019 Class II PRODUCT Proteus XR/a (SlOK : K993090) Recall Number: Z-2449-2019 REASON Intermittently not receiving an audible exposure indication upon completion of an exposure on the Proteus stationary radiographic system. RECALLING FIRM/MANUFACTURER GE Healthcare, LLC on 8/9/2019. Voluntary:  Firm Initiated recall is ongoing. VOLUME OF PRODUCT...Read More

Company: Vital Scientific N.V. Date of Enforcement Report: 10/2/2019 Class II PRODUCT V-Twin, Model # 6002-800, UDI: 03661540600180 Product Usage: An in-vitro diagnostic device, which is an automated chemistry analyzer, micro type, intended for clinical use in conjunction with certain materials to measure a variety of analytes, including applications in clinical chemistry, monitoring drugs of...Read More

Company: Roche Diabetes Care, Inc. Date of Enforcement Report: 10/2/2019 Class II PRODUCT Accu-Chek Connect Diabetes Management App Recall Number: Z-2753-2019 REASON Users with Android OS 8.0 and above may be unable to transfer values obtained on their meter to the App. RECALLING FIRM/MANUFACTURER Roche Diabetes Care, Inc. on 5/3/2019. Voluntary:  Firm Initiated recall is...Read More

Company: Smiths Medical ASD Inc. Date of Enforcement Report: 10/2/2019 Class II PRODUCT Medfusion Model 4000 Syringe Infusion Pump, with PharmGuard Server Software (PGS). Sold under the following names: MEDFUSION 4000 Pump V1.0; MEDFUSION 4000 Pump V1.1, v1.1.1, v1.1.2; MEDFUSION 4000 Pump V1.1, V1.1.1, V1.1.2; MEDFUSION 4000 Pump V1.5, V1.5.1; MEDFUSION 4000 Pump V1.5, V1.5.1;...Read More

URGENT/11 Cybersecurity Vulnerabilities in a Widely-Used Third-Party Software Component May Introduce Risks During Use of Certain Medical Devices The U.S. Food and Drug Administration (FDA) is informing patients, health care providers and facility staff, and manufacturers about cybersecurity vulnerabilities that may introduce risks for certain medical devices and hospital networks. The FDA is not aware...Read More

August and September 2019 continued a busy trend of regulatory and compliance activity – there were 42 software related recalls!  We also announced our 2020 Public Training Course dates!  Onward to higher software quality – keep pressing forward!Read More

Brian Pate has created this job aid to assist with explaining the separation of design input from the design process.  The diagram illustrates the "flow down" process of high level, intended use functionality traces downward to more detailed requirements and specifications.  Where do we draw the line with design input?  What should be the focus...Read More

The U.S. Food and Drug Administration released a suite of “Digital Health” guidances. The guidances issued today are a continuation of the Agencies efforts announced as part of the Digital Health Innovation Action Plan and address key provisions of the 21st Century Cures Act. The first guidance announced is Clinical Decision Support Software, a revised...Read More

The 2015 Amendment 1 update to IEC 62304 added a new clause that requires identification of “categories of defects associated with the selected programming technology” and providing analysis and other evidence demonstrating “that these defects do not contribute to unacceptable risk.”  Read a recent article on challenges with using C language.Read More

Company: CareFusion 303, Inc. Date of Enforcement Report: 9/11/2019 Class II PRODUCT Alaris EtCO2, Model 8300, UDI: 10885403830013, CareFusion for models 11634567 and 8300ADXeN933 Recall Number: Z-2443-2019 REASON Calibration; it has been determined that the capnographs may have been calibrated during manufacturing using a lower than specified concentration of CO2 RECALLING FIRM/MANUFACTURER CareFusion 303, Inc....Read More

Company: SonarMed Inc Date of Enforcement Report: 9/11/2019 Class II PRODUCT SonarMed AirWave Monitor, Model Number M0001 Recall Number: Z-2450-2019 REASON Potential for the presence of two error codes which would make the monitor inoperable. RECALLING FIRM/MANUFACTURER SonarMed Inc. on 4/17/2017. Voluntary:  Firm Initiated recall is ongoing. VOLUME OF PRODUCT IN COMMERCE 16 units DISTRIBUTION...Read More

Company: Siemens Medical Solutions USA, Inc Date of Enforcement Report: 9/11/2019 Class II PRODUCT syngo.CT software version VA48A_SP5.5 in the following SOMATOM computed tomography models: SOMATOM Definition Edge-Model #10590000; SOMATOM Definition AS Model #8098027; SOMATOM Definition Flash Model #10430603 Recall Number: Z-2440-2019 REASON SOMATOM Definition Edge, SOMATOM Definition AS, SOMATOM Definition Flash with software syngo.CT...Read More

Company: Becton Dickinson & Co. Date of Enforcement Report: 9/11/2019 Class II PRODUCT BD Kiestra InoqulA Software Version 20.3.IVD automated specimen processing Catalog Number: 447202 Recall Number: Z-2438-2019 Recall Number: Z-2439-2019 REASON An anomaly is present in InoqulA / InoqulA+ software version 20.3, has the potential to cause a mismatch between a specimen and plate....Read More

Company: Elekta, Inc. Date of Enforcement Report: 9/4/2019 Class II PRODUCT Monaco Radiation Treatment Planning System (RTP) System Recall Number: Z-2409-2019 REASON Monaco is displaying the Anatomy and Beam shift direction incorrectly on the Monaco Scan and Setup Reference Report and is DICOM exporting incorrect (Anatomy/Beam) shift directions. RECALLING FIRM/MANUFACTURER Elekta, Inc. on 8/23/2019. Voluntary: ...Read More

Company: Phadia Ab Date of Enforcement Report: 9/4/2019 Class II PRODUCT Phadia” 1000 Model # 12-3800-01 Product Usage: The instrument is fully integrated and automated instrument including software for immunodiagnostic testing. The instrument is designed to handle all steps from sample and reagent handling to processing of results. Recall Number: Z-2397-2019 REASON Code 7-102 Liquid...Read More