News Archives

Company: Philips Medical Systems (Cleveland) Inc Date of Enforcement Report: 8/14/2019 Class II PRODUCT Ingenuity CT, Model # 728326, computed tomography x-ray system Recall Number: Z-2186-2019 Ingenuity Core128 Model # 728323, computed tomography x-ray system Recall Number: Z-2187-2019 Ingenuity Core Model # 728321, computed tomography x-ray system Recall Number: Z-2188-2019 iCT, Model # 728306, computed...

Aug

Recall – Clinical chemistry analyzer calibration error

Company: Ortho Clinical Diagnostics Date of Enforcement Report: 8/14/2019 Class II PRODUCT VITROS 250 Chemistry System, clinical chemistry analyzer Recall Number: Z-2174-2019 Recall Number: Z-2175-2019 VITROS 250AT Chemistry System, clinical chemistry analyzer Recall Number: Z-2176-2019 VITROS 350 Chemistry System, clinical chemistry analyzer Recall Number: Z-2177-2019 VITROS Chemistry Products Calibrator Kit 32, for use with VITROS...

Aug

Recall – Ultrasound system images assigned to wrong patients

Company: Philips Ultrasound Inc Date of Enforcement Report: 8/14/2019 Class II PRODUCT Philips EPIQ and Affiniti Ultrasound Systems with software version 4.0: Models EPIQ 5G, EPIC 5C, EPIQ 5W, EPIQ 7G, EPIC 7C, EPIQ 7W, EPIZ CVx, Affiniti 30, Affiniti 50, and Affiniti 70. Product Usage: The intended use of the EPIQ, EPIQ 5, EPIQ...

Aug

Recall – Automated immunoassay analyzer software may not detect issue

Company: Abbott Gmbh & Co. KG Date of Enforcement Report: 8/14/2019 Class II PRODUCT The Alinity ci-series System Control Modules which are configured with Alinity c Processing Modules. The Alinity ci-series Control Module is labeled in part,”* * *Alinity ci-series* * *SYSTEM CONTROL MODULE Product Usage: The Alinity ci series System Control Module has a...

Aug

Recall – Blood bank analyzer anomaly with certain software versions

August 13, 2019Jordan PateNews

Company: Ortho Clinical Diagnostics Inc Date of Enforcement Report: 8/14/2019 Class II PRODUCT ORTHO VISION Analyzer for ID-MTS Gel Cards (ORTHO VISION), Software Version 5.12.3 and 5.12.4, Product Code: 6904577 Recall Number: B-0800-2019 ORTHO VISION Max Analyzer for ID-MTS Gel Cards (ORTHO VISION Max), Software Version 5.12.3 and 5.12.4, Product Code: 6904576 B-0801-2019 REASON Ortho...

Aug

Warning Letter – Software controlled product has not been registered with FDA

The United States Food and Drug Administration (FDA) conducted an inspection of your firm’s medical device operations, TALON, an S&S Technology Company, located in Houston, TX, from March 11 – 28, 2019. During the inspection, an FDA investigator determined that your firm is a medical device manufacturer of various Class I & II medical equipment,...

Aug

Recall – Infusion Infusion pump software anomalies, Class I

August 12, 2019Jordan PateNews

Company: Fresenius Kabi Date of Enforcement Report: 8/12/2019 Class I PRODUCT The Volumat MC Agilia Infusion System is an infusion pump used by health care professionals that delivers fluids including medications, blood, and blood products, into a patient’s body in controlled amounts. The pump administers fluids intravenously via an infusion tubing set and is intended...

Aug

Mobile app for fighting cancer related fatigue

August 8, 2019Jordan PateNews

Tired of Cancer, a digital health startup based in the Netherlands, announced their release of a mobile app for fighting cancer related fatigue (CRF). The Untire App is the first of its kind and aims to improve the quality of life for cancer patients and survivors. Thirty to forty percent of cancer patients suffer from...

Aug

Recall – X-ray System exposure control software error

August 7, 2019Jordan PateNews

Company: Philips Medical Systems Nederlands Date of Enforcement Report: 8/7/2019 Class II PRODUCT Azurion lnterventional Fluoroscopic X-ray System, with software version 1.2 Recall Number: Z-1997-2019 REASON Philips has discovered through customer complaints and internal testing an intermittent electronic product defect in accordance with 21 CFR 1003.2(b)(1). When performing Cine runs, the Azurion’s automatic exposure control...

Aug

Recall – Radiation treatment planning system scales incorrectly under certain conditions

August 7, 2019Jordan PateNews

Company: Elekta Inc Date of Enforcement Report: 8/7/2019 Class II PRODUCT Monaco RTP System, software versions 5.10 and 5.11, Radiation Treatment Planning System Recall Number: Z-2091-2019 REASON When creating 3D plans using either MU or Dose weighting modes, if the user changes the number of fractions, rescales the plan and then changes the wedge angle,...

Aug

Recall – Blood products collected during software error distributed

August 7, 2019Jordan PateNews

Company: Mississippi Valley Reg Bld Ctr Date of Enforcement Report: 8/7/2019 Class II PRODUCT Red Blood Cells, Leukocytes Reduced Recall Number: B-0768-2019 Platelets Recall Number: B-0769-2019 REASON Blood products, collected during a software error with blood mixers, were distributed. RECALLING FIRM/MANUFACTURER Mississippi Valley Reg Bld Ctr on 8/7/2019. Voluntary: Firm Initiated recall is ongoing. VOLUME...

Jul

Recall – Radiotherapy system software incorrectly demands verification scan

Company: Medical Intelligence Medizintechnik Gmbh Date of Enforcement Report: 7/31/2019 Class II PRODUCT IGuide System, software versions: 2.2.0, 2.2.1, 2.2.2 Product Usage: Linear Accelerator. The intended use of the device is the control of accurate patient positioning with assistance of a 30 Tracking System in a radiotherapy environment. Recall Number: Z-2082-2019 REASON Sometimes, although the...

Jul

Recall – PACS software causes prior thumbnails to not display correctly

Company: Merge Healthcare, Inc. Date of Enforcement Report: 7/31/2019 Class II PRODUCT Merge PACS versions 7.3, 7.3.1, 8.0 and 8.0.1 Recall Number: Z-2062-2019 REASON Potential for prior thumbnails to not display in reverse chronological order and images may not scroll in reverse chronological order when mammography stacked scrolling is enabled. Merge PACS provides image manipulation...

Jul

Recall – Electrocardiograph system intermittently displays incorrect patient info

Company: GE Healthcare, LLC Date of Enforcement Report: 7/31/2019 Class II PRODUCT MAC VU360, Model Number 2030360-001, Electrocardiograph Recall Number: Z-2060-2019 REASON Two issues: 1) The MAC VU360 system may intermittently display an incorrect patient ID or visit number on the screen after scanning the patient s barcode. This may result in the ECG report...

Jul

Recall – Network manager software error leads to nurse call system outage

Company: Stanley Security Solutions Inc Date of Enforcement Report: 7/31/2019 Class II PRODUCT STANLEY Healthcare Arial 54315 Network Manager Recall Number: Z-1996-2019 REASON STANLEY Healthcare has received reports of outages on the Arial nurse call system. These outages have been traced back to the Arial¿ 54315 Serial-to-IP Network Gateway. RECALLING FIRM/MANUFACTURER Stanley Security Solutions Inc...

Jul

Recall – Cardiovascular monitoring system displays internal error message

Company: GETINGE US SALES LLC Date of Enforcement Report: 7/31/2019 Class II PRODUCT PulsioFlex Monitoring System, Part Number: 6882747, Model Number: PC400 3 R0. Usage: The PulsioFlex Monitoring System is indicated in patients where cardiovascular and circulatory volume status monitoring is necessary. If a patient s biometric data are entered, the PulsioFlex Monitor presents the...

Jul

Recall – Patient monitoring system printed incorrect patient results

Company: Spacelabs Healthcare, Inc. Date of Enforcement Report: 7/31/2019 Class II PRODUCT Spacelabs Healthcare Smart Disclosure System, Model 92810, a component of the Intesys Clinical Suite (ICS) G2. Recall Number: Z-2035-2019 REASON Several reports were received that patient records were printed with the correct patient demographics but containing another patient’s waveforms. RECALLING FIRM/MANUFACTURER Spacelabs Healthcare,...

Jul

Recall – CT handheld stuck key

July 26, 2019Jordan PateNews

Company: Philips Medical Systems (Cleveland) Inc Date of Enforcement Report: 7/31/2019 Class II PRODUCT BrightView SPECT, Model Number 882480 Recall Number: Z-2009-2019 REASON An issue with the handcontroller may result in either spontaneous uncommanded motions or continued motion after the buttons were released. RECALLING FIRM/MANUFACTURER Philips Medical Systems (Cleveland) Inc. on 6/10/2019. Voluntary: Firm Initiated...

Jul

Warning Letter – Missing software validation and procedures at endoscopic instrument manufacturer

During an inspection of your firm located in Tuttlingen, Germany, on January 25, 2012, through January 27, 2012, an investigator from the United States Food and Drug Administration (FDA) determined that your firm manufactures non-powered endoscopic grasping/cutting instruments. Under section 201(h) of the Federal Food, Drug, and Cosmetic Act (the Act), 21 U.S.C. § 321(h), these...

Jul

Recall – MRI software fails to display offset values

July 24, 2019Jordan PateNews

Company: Elekta, Inc. Date of Enforcement Report: 7/24/2019 Class II PRODUCT Elekta Unity, Image-Guided Radiation Therapy System Elekta Unity using Magnetic Resonance Imaging is indicated for radiation therapy treatments and stereotactic radiation treatments of malignant and benign diseases anywhere in the body as determined by a licensed medical practitioner in accordance with a defined treatment...

Jul

Recall – Cytometry software compatibility issue with Microsoft updates

July 24, 2019Jordan PateNews

Company: Beckman Coulter Inc. Date of Enforcement Report: 7/24/2019 Class II PRODUCT Kaluza C Flow Cytometry Software, RX Only in the U.S.A., Beckman Coulter, Inc. for the following software devices: (A) Kaluza C Perpetual License (B) Kaluza C Single Use 1 Year License (C) Kaluza C 5 User Network (D) Kaluza C 10 User Network...

Jul

Recall – X-Ray system error message leads to unexpected results

July 17, 2019Jordan PateNews

Company: Canon Medical System, USA, INC. Date of Enforcement Report: 7/17/2019 Class II PRODUCT Radrex-i X-Ray System (DRAD-3000E) TFP-4336W (Wireless FPD) Software version: v5.00ER005 Product Usage: The RADREX-I is a general purpose x-ray system that employs Solid State Imager(s), SSXI, which converts x-rays directly into electrical signals which can, after appropriate processing be displayed on...

Jul

The FDA’s Role in Medical Device Cybersecurity

July 17, 2019Amy SellersNews

Cybersecurity issues arise when medical devices are capable of connecting to the Internet or other medical devices. Since the FDA is concerned with regulating the safety and effectiveness of medical devices, manufacturers must ensure that the computer systems of medical devices are protected against security breaches. The link below provides the FDA Fact Sheet entitled,...

Jul

Recall – Ventilator error may cause unit to permanently enter ambient state

July 12, 2019Jordan PateNews

Company: Hamilton Medical Date of Enforcement Report: 7/12/2019 Class I PRODUCT Hamilton Medical AG Hamilton-G5 Ventilator (PN 159001) Recall Number: Z-1874-2019 REASON New software version for affected ventilators reduces the probability of the ventilator entering an ambient state, in which the inspiratory channel and expiratory valves are opened, letting the patient breathe room air unassisted....

Jul

Recall – Radiation therapy system has potential for incorrect target position

July 3, 2019Jordan PateNews

Company: Hitachi America, Ltd., Power Systems Division Date of Enforcement Report: 7/3/2019 Class II PRODUCT PROBEAT-V, software versions 4.8.1S, and 5.1M Radiation therapy system. Recall Number: Z-1892-2019 REASON There is a potential for a discrepant target position when using 3D3D matching mode in PIAS (Positioning Image Analysis System) software installed in the PROBEAT-V, proton therapy...

Jul

Recall – Universal viewer missing images

July 3, 2019Jordan PateNews

Company: GE Healthcare, LLC Date of Enforcement Report: 7/3/2019 Class II PRODUCT Centricity PACS-IW with Universal Viewer version 5.0, Model Number 2068177-001 Product Usage: Centricity Universal Viewer is a device that displays medical images and data from various imaging sources, and from other healthcare information sources. Medical images and data can be displayed, communicated, stored,...

Jul

FDA Cybersecurity Committee Meeting

July 2, 2019Brian PateNews

Patient Engagement Advisory Committee Meeting to Discuss Cybersecurity – September 10, 2019 On September 10, 2019 the FDA will hold a meeting of the Patient Engagement Advisory Committee. The committee provides advice to the FDA on complex issues relating to medical devices, the regulation of devices, and their use by patients. During the meeting the...

Jul

MHRA Safety Alert – Hemodialysis

July 1, 2019Brian PateNews

Dialog+ haemodialysis machines with software versions 9.xx (excluding versions 9.18, 9.1A, 9.1B) – software and hardware upgrade required (MDA/2019/024) Summary Manufactured by B. Braun Avitum AG – Malfunction of the temperature sensor can result in temperature of the dialysis fluid to be more than ±1°C outside the programmed values, which can lead to inadequate treatment....

Jun

FDA Forum for Interoperability Feedback

June 27, 2019Brian PateNews

Join the FDA and NITRD on July 17 for a Listening Session on Interoperability of Medical Devices On July 17, 2019, the U.S. Food and Drug Administration (FDA) and The Networking and Information Technology Research and Development Program (NITRD) will host a listening session on the interoperability of medical devices, data and platforms. During the...

Jun

Insulin Cybersecurity Safety Notice

June 27, 2019Brian PateNews

The FDA is warning patients and health care providers that certain Medtronic MiniMed™ insulin pumps have potential cybersecurity risks. Patients with diabetes using these models should switch their insulin pump to models that are better equipped to protect against these potential risks.

Jun

Recall – Ultrasound system app error leads to incorrect values

June 26, 2019Jordan PateNews

Company: GE Healthcare, LLC Date of Enforcement Report: 6/26/2019 Class II PRODUCT LVivo EF app on Vscan Extend. Sold under the following product names: a. Vscan Extend Dual DICOM, Model Numbers H41212ZA, H41212RN; b .Vscan Extend Dual USB, Model Number H41212RK; c. Vscan Extend Dual Wi-Fi, Model Numbers H41212YZ, H41212RL; d. Vscan Extend Sector DICOM,...

Jun

Recall – Insulin dosing software error results in high calculations

June 26, 2019Jordan PateNews

Company: Monarch Medical Technologies Date of Enforcement Report: 6/26/2019 Class II PRODUCT Monarch Medical Technologies EndoTool IV, Versions 1.8, Version 1.8.5 and higher, and Version 1.9 and Version 1.10. Recall Number: Z-1786-2019 REASON Insulin dosing calculations were erroneously high. RECALLING FIRM/MANUFACTURER Monarch Medical Technologies on 5/3/2019. Voluntary: Firm Initiated recall is ongoing. VOLUME OF PRODUCT...

Jun

Recall – Urine analyzer software error can lead to incorrect patient data

June 26, 2019Jordan PateNews

Company: Arkray Factory USA, Inc. Date of Enforcement Report: 6/26/2019 Class II PRODUCT AUTION HYBRID AU-4050 Recall Number: Z-1850-2019 REASON This correction is being initiated due to a software issue which results in the possibility of incorrect patient information being assigned to sample results when the following rare combination of three specific events were to...

Jun

SoftwareCPR June 2019 Newsletter

June 26, 2019Brian PateNews

May and June 2019 was a busy period for software related recalls – there were 28 recalls as you will see later in the Newsletter. As you plan your software quality assurance activities, we encourage review of published recalls and consider what steps you have in your process to prevent similar problems. Onward toward higher...

Jun

ARCOS Project

June 25, 2019Brian PateNews

The US Defense Advanced Research Projects Agency (DARPA) have released a solicitation for the “Automated Rapid Certification of Software (ARCOS)” project. The project goal is to automate system risk assessment based on software assurance. The project recognizes that current practices in this area rely upon human judgement which can be prone to error but also...

Jun

Recall – PACS viewer missing images without warning

Company: GE Healthcare, LLC Date of Enforcement Report: 6/19/2019 Class II PRODUCT GE Centricity PACS-IW versions 3.6.0 through 3.7.3.9 SP1, SP2, SP3 and 3.7.3 SPa10, Model Numbers: a) 2052831-00x b) 2050578-0xx c) 2090228-002 d) 2052782-00x Recall Number: Z-1781-2019 REASON There is a potential that one or more image series (i.e., all images within an image...

Jun

Recall – Infusion Pump data recorded 100x actual rates

Company: Philips North America, LLC Date of Enforcement Report: 6/19/2019 Class III PRODUCT Philips Patient Information Center iX configured with a regional setting which uses a comma for a decimal separator: 866389 Patient Information Center iX B.01 (or later); 866390 Patient Information Center iX B.01 upgrade (or later) Product Usage: The intended use of the...

Jun

Recall – Cardio-pulmonary bypass monitor display controls disabled

Company: Terumo Cardiovascular Systems Corporation Date of Enforcement Report: 6/19/2019 Class II PRODUCT Terumo Advanced Perfusion System 1 Electronic Patient Gas System (EPGS), Electronic Gas Blender, Catalog #: 801188, UDI 00886799000588. Used in cardio-pulmonary bypass. Recall Number: Z-1769-2019 REASON An intermittent failure which causes a blender initialization fault upon start-up or during an EPGS calibration...

Jun

Recall – Discrepancy in displayed software measurement and manufactured implant

Company: Conformis, Inc. Date of Enforcement Report: 6/19/2019 Class II PRODUCT Conformis iTotal Hip Replacement System: HBS-033-00xx-010101, (HIP-PATIENT SPECIFIC STEM LEFT) Recall Number: Z-1775-2019 Recall Number: Z-1776-2019 REASON Discrepancy of 3mm between the values displayed and approved by surgeons in iViews as the neck/head lengths and the resulting neck/head lengths in the manufactured implants. RECALLING...

Jun

Recall – Smart programmer has potential for unexpected behavior

Company: Medtronic Neuromodulation Date of Enforcement Report: 6/19/2019 Class II PRODUCT InterStim(TM) System, Model Numbers: a) TH90G01 b) TH90GFA c) TH90G02 d) TH90G03 Product Usage: The Medtronic Model A510 Clinician application (app) is intended for use with the HH90 Handset and TM90 Communicator to program, adjust, and troubleshoot the Medtronic Models 3023 and 3058 InterStim...

Jun

Recall – Software error may result in ambiguous results