Date Initiated by Firm | November 22, 2024 |
Date Posted | December 20, 2024 |
Recall Status1 |
Open3, Classified |
Recall Number | Z-0740-2025 |
Recall Event ID |
95809 |
510(K)Number | K200107 |
Product Classification |
Electrode measurement, blood-gases (pco2, po2) and blood ph - Product Code CHL
|
Product | epoc NXS Host; Siemens Material Number (SMN): 11413583(CN, KR) ; Software Version Number: 4.14.9.
Intended for use by trained medical professionals as an in vitro diagnostic device for the quantitative testing of samples of heparinized or un-anticoagulated arterial, venous or capillary whole blood in the laboratory or at the point of care. |
Code Information |
Siemens Material Number: 11413583; UDI-DI: 00630414612447;
Software Version Number: 4.14.9. |
Recalling Firm/ Manufacturer |
Siemens Healthcare Diagnostics, Inc. 333 Coney St East Walpole MA 02032-1516
|
For Additional Information Contact | Customer Service 877-229-3711 |
Manufacturer Reason for Recall | Siemens Healthcare Diagnostics is recalling their epoc Blood Analysis System because of a software malfunction that occurs when specific criteria are met that can result in the incorrect patient name being assigned to a blood measurement by the device if the user of the device does not ensure verification of the correct patient name. The software malfunction has the potential to impact patient safety via misdiagnosis and/or mistreatment by a clinician if the wrong patient information is saved with the test result from the subject device. |
FDA Determined Cause 2 | Software design |
Action | Siemens issued Urgent Medical Device Correction (UMDC) letter to U.S. customers by FedEx beginning on November 22, 2024. Urgent Field Safety Notice (UFSN) was issued to OUS Siemens reporting sites with affected customers, for distribution and regional
reporting to their local competent authorities beginning on November 22, 2024.
Letter states reason for recall, health risk and action to take:
Please review this letter with your Medical Director to determine the appropriate course of
action, including for any previously generated results, if applicable.
If you are a distributor, please ensure your customers receive this UMDC letter.
To avoid the issue, please follow one of the options below:
o Option 1: After completing a patient test, either log out or return to the home
page before proceeding to the next patient test by pressing Close and Transmit
button.
o Option 2: Before starting a new test, follow the steps outlined in Section 6.19
Patient ID Lookup of the epoc System Manual with NXS Host and confirm the
correct patient demographics. It is important to verify the demographics, as some
of this data may be used for calculated analytes. If the demographics are
incorrect, delete and re-enter the Patient ID and perform the PPID Lookup again.
Complete and return the Field Correction Effectiveness Check Form attached to this letter
within 30 days.
Adverse reactions or quality problems experienced with the use of the affected products listed
in the above table may be reported to the FDA s MedWatch Adverse Event Reporting program
either online, by regular mail or by fax.
Please retain this letter with your epoc System Manual with NXS Host or place the letter near
the affected instrument for reference. Please also forward this letter to those who may have
received this product.
For any questions, you may call Siemens Healthineers Technical Solutions Center at
877-229-3711, available daily from 7:00 AM to 11:00 PM EST.
The issue will be resolved in the |
Quantity in Commerce | 23 units |
Distribution | Nationwide
Foreign:
Albania
Angola
Argentina
Australia
Austria
Bahrain
Bangladesh
Belarus
Belgium
Bolivia
Bosnia and Herzegovina
Brazil
Cambodia
Canada
Chile
China
Colombia
Croatia
Czech Republic
Denmark
Ecuador
Egypt
Estonia
Finland
France
Germany
Ghana
Greece
Guadeloupe
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Israel
Italy
Japan
Jordan
Kazakhstan
Kuwait
Latvia
Lithuania
Luxembourg
Macau
Madagascar
Malaysia
Mexico
Monaco
Mongolia
Morocco
Myanmar
Netherlands
New Caledonia
New Zealand
Norway
Paraguay
Peru
Philippines
Poland
Portugal
Republic Korea
Romania
Russian Federation
Saudi Arabia
Singapore
Slovakia
Slovenia
South Africa
Spain
Sri Lanka
Swaziland
Sweden
Switzerland
Thailand
Tunisia
Turkey
Ukraine
United Arab Emirates
United Kingdom Great Britain
Uruguay
Vietnam
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Total Product Life Cycle | TPLC Device Report |
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1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls. 2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall. 3 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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510(K) Database | 510(K)s with Product Code = CHL
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