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Class 1 Device Recall Baxter Meridian Hemodialysis Instrument |
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Date Initiated by Firm |
September 28, 2005 |
Date Posted |
December 14, 2005 |
Recall Status1 |
Terminated 3 on November 27, 2006 |
Recall Number |
Z-0275-06 |
Recall Event ID |
33632 |
510(K)Number |
K992894
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Product Classification |
Dialyzer, High Permeability With Or Without Sealed Dialysate System - Product Code KDI
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Product |
Baxter Meridian Hemodialysis Instrument, product codes 5M5576 and 5M5576R; Baxter Healthcare Corporation, Renal Division, McGaw Park, IL 60085 U.S.A. |
Code Information |
all serial numbers, beginning with 20000 |
Recalling Firm/ Manufacturer |
Baxter Healthcare Renal Div 1620 Waukegan Rd Bldg R Mc Gaw Park IL 60085-6730
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For Additional Information Contact |
Center for One Baxter 800-422-9837
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Manufacturer Reason for Recall |
Inadequate instructions for routing single tubing lines through the double-tubing clips on the front of the instrument to eliminate the risk of kinks in the tubing, which have been associated with a death and a serious injury.
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FDA Determined Cause 2 |
Other |
Action |
Urgent Device Recall letters dated 9/28/05 were sent to all Meridian accounts on the same date, to the attention of the Hemodialysis Administrator, with copies sent to the Chief Technician and Hemodialysis Charge Nurse. The letters informed the accounts of teh death and serious injury related to kinks in blood tubing sets used on the Meridian machine, and that there is an increased risk of kinks to occur at the double-tubing clips mounted on the front of the Meridian. The risk increases when a single tubing line is routed through both retainers on either clip. The letter included diagrams showing the correct and incorrect use of the clips, provided labels, with placement instructions, to be placed on the Meridian machine indicating the correct and incorrect placement of tubing, and informed the users that replacement clips with single channels will be installed when they become available.
Follow-up letters were sent to the accounts on 12/22/05, providing training material to ensure that the accounts are aware of proper blood tubing set-up and understand the conditions which may result in hemolysis, and on 12/23/05, informing them that the replacement clips were available for installation, giving the accounts the option of having Baxter install them or sending the clips to the account for self-installation. |
Quantity in Commerce |
2,838 units |
Distribution |
Nationwide and internationally to Mexico and Asia. |
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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
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510(K) Database |
510(K)s with Product Code = KDI and Original Applicant = BAXTER HEALTHCARE CORP.
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