| Class 2 Device Recall Horizon Cardiology Hemo |  |
Date Initiated by Firm | August 21, 2024 |
Date Posted | October 17, 2024 |
Recall Status1 |
Open3, Classified |
Recall Number | Z-0127-2025 |
Recall Event ID |
95284 |
510(K)Number | K050561 |
Product Classification |
Computer, diagnostic, programmable - Product Code DQK
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Product | Horizon Cardiology Hemo. Version 12.2. |
Code Information |
No UDI. Version 12.2
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Recalling Firm/ Manufacturer |
CHANGE HEALTHCARE CANADA COMPANY 10711 Cambie Rd Suite 130 Richmond Canada
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For Additional Information Contact | Mr. Jay Sloman 678-860-0782 |
Manufacturer Reason for Recall | A potential issue has been identified in Change Healthcare Cardiology Hemo where incorrect data entry can lead to inaccurate hemodynamic calculations, potentially resulting in misdiagnosis and inappropriate treatment. This issue occurs when the unit of measurement (UOM) for hemoglobin is configured in a way that differs from the users understanding. |
FDA Determined Cause 2 | Use error |
Action | Change Healthcare notified consignees on about 08/21/2024 via emailed letter. Consignees were instructed to pay careful attention to the hemoglobin unit of measurement
displayed on the top of the "results" screen of the Hemo application, communicate the issue to all relevant team members to ensure vigilance in data entry, ensure that the hemoglobin values are entered in the correct unit of measurement (mmol/l or g/dl) as configured in the Management Console and displayed at the top of the results screen, contact Change Healthcare support to schedule the deployment of the software update that addresses this issue. Additionally, consignees were requested to complete and return the response form.
With regard to potentially affected data, Change Healthcare recommended consignees verify f the UOM setting for hemoglobin is configured to what users would expect, if the UOM settings are different than expected, contact Change Healthcare support for assistance with identifying when the UOM setting was changed, and which procedures were affected, and examine affected procedures and implement necessary corrective actions to rectify the data and address patient care concerns. |
Quantity in Commerce | 3 systems |
Distribution | Worldwide distribution - US Nationwide and the countries of Australia, Canada, Germany, Ireland, Israel, United Kingdom.
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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 = DQK
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