AK 98 Self-Care Haemodialysis machine with software versions 1.1.0 and earlier 의 리콜

Department of Health, Therapeutic Goods Administration에 따르면, 해당 리콜 는 Australia 에서 Baxter Healthcare Pty Ltd 에 의해 제조된 제품과 관련되어 있습니다.

이것은 무엇인가요?

의료기기에 문제가 생겼을 경우 제조사가 이를 바로잡거나 시장에서 회수하는 조치를 말한다. 회수(Recall)는 의료기기에 결함이 있거나, 건강에 위협이 되거나, 또는 결함도 있고 건강에도 위협이 될 경우에 발생한다.

데이터에 대해 더 자세히 알아보기 여기
  • 사례 유형
    Recall
  • 사례 ID
    RC-2016-RN-01415-1
  • 사례 위험등급
    Class I
  • 사례 시작날짜
    2016-11-01
  • 사례 국가
  • 사례 출처
    DHTGA
  • 사례 출처 URL
  • 비고 / 경고
    Australian data is current through July 2018. All of the data comes from the Australian Therapeutic Goods Administration, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of recall data from the U.S. and Australia.
  • 데이터 추가 비고
  • 원인
    Two software issues have been identified, as follows.1. it has been identified that the machine could become stuck in a fluid by-pass state if the operator confirms the air detector alarm during priming. in a fluid bypass state, the fluid path bypasses the dialyzer and no ultrafiltration (uf) or diffusion occurs, leading to an absence of therapy. thus, the patient may not receive the prescribed therapy when the machine gets stuck in a bypass state.2. it has been identified that the ultrafiltration supervision (ufs) may be put in an (non-functional) idle state, if the functional check of the blood module is delayed and is completed after the functional check of the fluid module. when the ufs is in a non-functional state, the machine may not be able to detect deviations in ultrafiltration during treatment. this could lead to hypovolemia or hypervolemia.
  • 조치
    Baxter is advising users that a software update will be released early 2016 as a permanent fix. Baxter will contact users to arrange for the upgrade once the new software version is available. In the interim, the following instructions should be followed. 1. Make sure that the blood pump door is closed during the Function Check i.e. before “Green Fluid Path” is reached. 2. Wait to put the blood lines and the dialyser on the machine until the machine has reached Green Fluid Path.

Device

  • 모델명 / 제조번호(시리얼번호)
    AK 98 Self-Care Haemodialysis machine with software versions 1.1.0 and earlier Product Code: 115250Serial Numbers:11295, 10357, 10359, 10360 &10362ARTG Number: 112135
  • Manufacturer

Manufacturer