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Abbott Alcyon Analyzers with Alcyon System Software Version 1.6.Recall #Z-267-0. REASON The device may give incorrect tests results or reference ranges when printing the “Complete Report (header)”, “Incomplete Report (DRAFT)”, and the “Control Results printout.” CODE List #4E73-04. MANUFACTURER Abbott Laboratories, Inc., Irving, Texas. RECALLED BY Manufacturer, by telephone on May 18 and 19, 1999,...
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5/18/99 Cardiopulmonary Corporation 1 unit. Class II Venturi Ventilator Software revision C. Software error may cause ventilator to deliver more than set tidal volume. Z-803-9
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Picker 7-May-99 MRI equipment The following, deviations from the Device Quality System Regulations were documented: 1) Failure to maintain a design file necessary to demonstrate that the design was developed in accordance with the approved design plan as required by 21 CFR 820.30(j). For example, there is no documentation of any module testing of the...
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Failure to investigate the cause of nonconformities relating to product, processes and the quality system; failure to develop, conduct, control and monitor production processes to ensure that a device conforms to its specifications; failure to establish and maintain procedures to prevent contamination of equipment or product by substances that could reasonably be expected to have...
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4/30/99 Bayer Diagnostics 1000 units. Class II ADVIA 120 Hematology System When running the ADVIA 120 system in the manual mode using the Host Query feature and the timeout is set to 13 seconds, it is possible for the system to report incorrect patient results. The supplemental labeling instructions section of the product labeling instructs...
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Incomplete records for all blood components produced; failure to routinely review error messages on computer system. The inspection also revealed that _____ error messages on your computer system are not routinely reviewed, processed, and investigated to determine final disposition. The instructions for computer system training do not include a clear written explanation of what error...
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With regard to FDA-483 Item 4, Braun was cited for not reporting two MDR reportable complaints, Mfr reports #1641965-1998-00018/24, to FDA within the 30 days time frame. Your response indicated that Braun is currently changing the complaint handling system from tracking complaint information on an _____ spreadsheet to using an off-the-shelf database system, _____ tracker....
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B) Failure to validate the computer system controlling the air separation process.
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Failure to exercise appropriate controls over computer or related systems to ensure that changes in records are instituted only by authorized personnel; failure to concurrently maintain a record from which unsuitable donors may be identified; and failure to maintain and/or follow standard written operating procedures to include all steps to be followed in the collection,...
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4/16/99 Class II Colleague 3 Volumetric Infusion Pump (Triple Channel). Baxter Healthcare 6,992 units. A software communication error occurs predominately when all three channels are in use, causing an alarm codition that will stop the function of all of the channels in use. The pump will alarm appropriately, alerting the user of the failure state....
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All Architect I System Processing Modules with Software Versions1.0 and 1.01. Recall #Z-910-9. REASON The device may report incorrect results for diluted samples; and/or when used with the Laboratory Information System or Host Information Systems, the system may incorrectly associate test results with patient ID or incorrectly associate control results with patient records. CODE List...
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GE 9-April-99 Solar Model 7000/8000 Patient MonitorsJohn Welch, Jr. Chief Executive Officer General Electric Company 3135 Easton Turnpike Fairfield, Connecticut 06431 Dear Mr. Welch: We are writing to you because on March 8-12, 1999, investigators from the Food and Drug Administration (FDA) collected information from your Marquette Medical Systems, Milwaukee, WI, facility that revealed a...
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REASON Defective software could result in failure to give warning. CODE Version V1.4 and all previous versions of the software. MANUFACTURER Marquette Medical Systems, Inc., Milwaukee, Wisconsin. RECALLED BY Manufacturer, by telephone and letter sent on April 8, 1999. Firm-initiated field correction ongoing. DISTRIBUTION Nationwide, Canada, France, Australia, Italy, Sweden. QUANTITY 368 units were distributed.
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Donor Management Information System, Version 1.2. Recall #B-602-9. REASON Y2K defect in the computer software incorrectly calculates the end date of a temporary deferral to be 1900 instead of 2000, and removes the deferral from the database. CODE 11 systems were distributed. MANUFACTURER Information Data Management, Rosemont, Illinois. RECALLED BY Manufacturer, by telephone on January...
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4/6/99 Class II Phillips Medical 1086 units. Integris family of x-ray controls and generators (fluoroscopy,, urology, cardiology). The defect occurs when the system is driven to maximum EER and the source to image receptor distance (SID) is moved toa shorter distance while continuing to make exposures. In this manner of operation, the output may exceed...
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The Center for Devices and Radiological Health (CDRH), Office of Compliance, Division of Enforcement I, Diagnostic Devices Branch has reviewed the January/February 1999 Establishment Inspection Report of your firm, and the Form FDA 483 dated February 5, 1991, that was issued to you at the close of the FDA inspection. They also reviewed your product...
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3/29/99 Digisonics Class II OBLink software releases prior to 9.0 39 units. Y2K sofvtware error may produce an incorrect estimated delivery date (EDD). Z-1056-9.
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Radionics 22-March-99 Xknife Stereotactic Radiosurgery System 1. Failure to establish and maintain procedures to ensure that formal documented reviews of the design results are planned and conducted at appropriate stages of the device’s design development, that appropriate representatives are included, and that the results of a design review, including identification of the design, the date,...
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Abbott 17-March-99 In vitro diagnostic products 2. Failure to document all activities required by 21 CFR 820.100(b) as they relate to corrective and preventive action. For example: a. There is no documentation of the management review and approval of the decision not to send a customer communication to alert Axsym instrument users of a system...
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Baxter 3/12/99 Catheters 2. Failure to validate production processes with a high degree of assurance where the results of a process cannot be fully verified by subsequent inspection and test [21CFR 820.75). Specifically, your firm does not have sufficient documented evidence, that the Pulmonary Artery Catheter balloon forming, and the polyethylene (PVC)compounding processes meet their...
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“Capability Maturity Mode Implementation and Risks” byTracey Briscoe of Quality Systems and Software (maker of the DOORS requirements management tool).This white paper provides a concise overview of the CMM and some common issues regarding its value, costs, and implementation approach. Quality Systems and Software has a variety of white papers and courses offered on its...
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Eagle 3000 Floorloader Steam Sterilizer. Recall #Z-936-9. REASON There is an error in the control system software, which causes the chamber temperatures to exceed the upper limit. CODE Various serial numbers. MANUFACTURER Steris Corporation, Erie Pennsylvania. RECALLED BY Steris Corporation, Mentor, Ohio, by Customer Notifications on March 10, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide, Canada,...
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Urometrics 9-March-99 Penile tumescence monitors 1. Failure to establish and maintain procedures for the identification, documentation, validation, or appropriate verification, review and approval of design changes before their implementation as required by 21 CFR 820.30(i) in that there is no data to show that the NEVA program version 2.2.1 (revised 1/20/99) was validated or verified....
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In response to your inquiry concerning the need to maintain manual discard records when the same date is computerized, I can assure you that duplicative, manual records are not required, PROVIDED your computer system(s) are validated to ensure that all necessary data is entered, that the stored data is safely backed-up in the event of...
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Medical Equipment Designs 9-March-99 Diathermy devices Since 1990, you also modified the design of the Meditherm by introducing software to control the device. Major changes in the intended use of the Meditherm and design changes which could significantly affect safety or effectiveness, such as the introduction of software, require a new premarket notification (510(k)) submission...
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3/5/99 Class II Hewlett Packard 145 units. Software used with transducer EV7014 incorrectly indicates track of biospy needle. Z-772-9
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Philips Medical Sonodiagnost 800, intended for endovaginal biopsy for various gynecologic and obstetric procedures including follicular retrieval, endometrial biopsy, and fluid aspiration of any type in a potentially pregnant patient. Recall #Z-772-9. REASON Software used with Transducer EV7014 incorrectly indicates track of the biopsy needle. CODE All SD800’s with Software versions 2.1. and 2.1.1 used...
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Chronimed 3/2/99 Glucose test strips and meters 5. Failure to establish and maintain plans that describe or reference the design and development activities and define responsibility for implementation as required by 21 CFR 820.30(b). For example, there is no plan for the software validation for Version 104. 6. Failure to ensure that the design input...
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All IMMULITE 2000 Automated Immunoassay Analyzers with SoftwareVersion 1.1, a clinical automated immunoassay analyzer intended for in-vitro diagnostic use for detection of analytates in human specimens. Recall #Z-909-9. REASON If the initial counts of the reaction tubes are exactly 10,000 cps, this leads to erroneously low calculated results. CODE All serial numbers in commercial distribution...
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Abbott Cell-Dyn 3000 Series Hematology Systems, Cell-Dyn Reticulocyte Reagent, when used in combination with Cell-Dyn 3500 reticulocyte software enables a whole blood specimen to be analyzed for reticulocytes. The Reticulocyte Reagent is intended for in vitro diagnostic use (outside the body). Recall #Z-715-9. REASON These lots may exhibit elevated Reticulocyte results. In some cases, the...
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Compex S.A. 2/22/99 Muscle and nerve stimulation devices 2. Failure to validate computer software for its intended use according to an established protocol, when computers or automated data processing systems are used as part of production or the quality system, as required by 21 CFR 820.70(i). For example, your firm failed to validate the software...
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2/16/99 Class II 128XP Acuson 637 units. Rev 27 software with OB calculations options are affected. Potential error condition related to OB reports printed after diagnosis. Z-787-9
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Solar 7000 and Solar 8000 Patient Monitors with Version 5D Software, used to display physiological data from modules which monitor the patient for ECG, blood pressure, cardiac output, respiration, pulseoximetry, etc. Recall #Z-727/728-9. REASON A software deviation can affect the alarm default settings, which may result in incorrect or missed alarm notification. CODE Solar 7000/8000...
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Diehl Inc. Food Processing 2/12/99 The chart recorder and the computer display on the xxxx units did not correspond to the mercury-in-glass (MIG) thermometer. The chart recorder or computer display may show a reading up to 3 degrees F higher than the MIG thermometer. SoftwareCPR keywords: Production software, validation, electronic records
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Inadequate process validation; failure to validate the test methods used to analyze raw materials and the finished product; failure to institute process qualification for the laboratory instruments used to perform in-process and finished product testing; failure to qualify or validate the firm’s computer software programs; and failure to perform investigations into out-of-specification weight and diameter...
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10-Feb -99 Precision Therapy International. 190 units. Class II. 3-D Imgcomp Utility User Manual Update. Version 2.72b & 3.07d. A design error may leadto a serious miscalculation of radiation dose. Z-1223-9
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2/9/99 Class II Bayer AADVIA120 Hematology System 920 units. The device may give erroneous reslts because of the valve gasket deterioration in the Baso channel check valve, and the software designed will not flag significant discrepancies in the results between the two methodologies at extremely low counts.Z-869/870-9
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2/5/99 Class I recall Marquette Electronics ECG, blood pressure, cariac output, respiraion, pulse oximetry Monitors. 607 new units and 97 update kits. A software deviation can affect alarm default settings, which may result in incorrect or missed alarm notification. Z-727/728-9
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2/1/99 Abbott Alcyon 300 Analyzer (IVD) Possible mixup of patient results. 631 units. Z-617-9
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National Biomedical Computer System, Versions 1.1 to 1.3.2. Recall #B-861-9. REASON Y2K defect in the computer software incorrectly calculates the end date of a temporary deferral to be 1900 instead of 2000, and removes the deferral from the database. CODE Software versions 1.1 to 1.3.2. MANUFACTURER American Red Cross Blood Services, Arlington, Virginia. RECALLED BY...
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Four Recalls of Picker International Nuclear Cameras and imaging systems12/15/98 Prism XPVT 63 units. Unexpected camera movement which requires the operator to power down and reboot with delay in diagnosis. Z-643/650-9 11/18/98 Model 3000 325 units. Unintended motion of gantry during setup. Z-641/642-9 11/17/98 ModelFX AND fx 800 WITH VERSION 8.3.11 software. 70 units. Software...
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Knoll Pharmaceutical 12/14/98 Your firm’s equipment qualifications for the Amsco SG-116 autoclave and the computer control system for the 60″ film coating pan were inadequate. SoftwareCPR keywords: software validation, CDER, Drugs, Pharma
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12/10/98 Datalink Management System Software Versions 4.1-4.2 Beckman Coulter 248 units. The devices may allow the test results from an associated clinical instrument to be placed under an incorrect sample ID. Z-829-9
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Soft Computer Consultants 12/4/98 Blood Bank Computer SoftwareDESIGN CONTROLS 1) Failure to establish and maintain plans that describe or reference the design and development activities, and define responsibility for implementation including the plans that describe the interfaces with different groups that provide input to the design and development process [21 CFR 820.30(b)]. 2) Failure to...
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