| | Class 2 Device Recall CDI OneView Monitoring System BPM Probe |  |
| Date Initiated by Firm | May 28, 2025 |
| Date Posted | June 24, 2025 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-2018-2025 |
| Recall Event ID |
96858 |
| 510(K)Number | K234065 |
| Product Classification |
Monitor, blood-gas, on-line, cardiopulmonary bypass - Product Code DRY
|
| Product | CDI OneView System BPM Probe:
Cat. No. CDI753 - CDI OneView BPM Probe,
Cat. No. CDI753TK - CDI OneView BPM Probe Trial Kit |
| Code Information |
UDI-DI 00886799001889
Lot Number/Serial Number Range:
B0050231-B0050240
B0050221-B0050230
B0050211-B0050219
B0050201-B0050209
B0050191-B0050200 |
| FEI Number |
1828100
|
Recalling Firm/ Manufacturer |
Terumo Cardiovascular Systems Corporation 6200 Jackson Rd Ann Arbor MI 48103-9586
|
| For Additional Information Contact | Terumo CVS Customer Service 800-521-2818 |
Manufacturer Reason for Recall | Due to an error in assembly of the thermistor within some units, the affected probes will experience inaccuracy in measured shunt sensor temperature. Additionally, following changes in patient temperature without an in vivo recalibration, affected probes may experience inaccuracy in other measured parameters, including pCO2, pO2, pH, Potassium and calculated parameters, including BE, Bicarbonate, Arterial Oxygen Saturation, Delivered Oxygen, Area Under of the Curve of Delivered Oxygen, Oxygen Consumption, and Oxygen Extraction Ratio, which utilize temperature as an input. Inaccurate data may lead to inappropriate user response. |
FDA Determined Cause 2 | Employee error |
| Action | On May 28, 2025, firm began notifying affected consignees via Urgent Medical Device Removal letters.
A Terumo Service Representative will contact each customer to discuss removal and replacement of affected devices. The firm is not recommending that customers halt use of their CDI OneView BPM Probe while waiting for removal and replacement. In the event suspected parameter inaccuracy occurs, performance of an in vivo recalibration is recommended. Per the Operator's Manual, displayed values should be verified for accuracy from another source before initial treatment. |
| Quantity in Commerce | 28 US; 7 OUS |
| Distribution | US Nationwide distribution in the states of California, Delaware, Hawaii, Iowa, Indiana, Michigan, North Carolina, New York, Ohio, and Washington. The country of New Zealand. |
| 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 = DRY
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