GEMSTAR INFUSION PUMP / Model: 7 THERAPIES / ANVISA Registry # 80253310025. 의 안전성 경고

Agência Nacional de Vigilância Sanitária (ANVISA)에 따르면, 해당 안전성 경고 는 Brazil 에서 Hospira Costa Rica Ltd. 에 의해 제조된 제품과 관련되어 있습니다.

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안전성 경고는 의료기기 제품과 관련된 중요한 정보와 권고사항을 담고 있습니다. 물론 안전성 경고가 배포되었다고 해서 해당 제품이 무조건 안전하지 않은 제품이라는 것은 아닙니다. 보건의료업계 종사자와 의료기기 사용자들에게 배포되는 안전성 경고에는 회수(recall)도 포함될 수 있습니다. 제조사가 안전성 경고를 작성하기도 하지만, 보건당국에서 작성하는 경우도 있습니다.

데이터에 대해 더 자세히 알아보기 여기
  • 사례 유형
    Safety alert
  • 사례 ID
    1255
  • 날짜
    2013-05-06
  • 사례 국가
  • 사례 출처
    ANVISA
  • 사례 출처 URL
  • 비고 / 경고
    Brazilian data is current through June 2018. All of the data comes from Anvisa, 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 data from the U.S. and Brazil.
    ICU Medical, Inc. acquired from Pfizer in early 2017, Hospira Infusion Systems, the portion of Hospira dedicated to develop infusion pumps.
  • 데이터 추가 비고
    Calibration of the proximal and distal pressure sensor may vary, resulting in failure of the pump's Proximal or Distal Occlusal Operation Test as described in the GemStar Service Technical Manual, or exhibiting one of the following errors during infusion or pump configuration : Check Cassete - D; Check Cassete - P; Proximal occlusion; Distal occlusion; Pressure Calibration Error; Damaged Pressure Sensor Event; Damaged Pressure Sensor Status; Distal Pressure Out of Limit; Proximal Sensor Off limit. A pump with this problem may, instead of reporting an error, not detect occlusions or emit false occlusion alarms, which will interrupt the infusion and cause the device to emit visual and audible alerts. If these failures are observed the infusion is interrupted, resulting in delayed / interrupted therapy. An undetected distal occlusion can cause excessive pressure and accumulation of fluid in the distal line not detected by the pressure sensor. When distal occlusion is resolved, fluid accumulation will be administered to the patient and may cause a maximum overdose of <1.0 mL. The severity of the delay or discontinuation of therapy depends on the underlying condition of the patient and the prescribed treatment. A delay / interruption in therapy may, in the worst case, result in a serious adverse event. Health professionals are advised to evaluate the risks / benefits to patients associated with the use of the equipment when administering critical therapies. Clients should contact a Hospira representative for the use of an alternative pump, particularly for patients in whom delayed / discontinued therapy or overdose can lead to serious injury or serious adverse events. It is recommended to perform proximal and distal occlusion tests as described in the Gemstar Technical Service Manual. If the pump fails one of the tests, it must be withdrawn from use. If you are unsure whether to perform the tests or if the infusion pump fails during one of the tests, contact Hospira on 0800-7733133 to report the problem and send the pump for recalibration. Performing distal and proximal occlusion tests should be included in the annual preventive maintenance schedule. Access the letter to the clients, see the link: http://portal.anvisa.gov.br/wps/wcm/connect/a59744804f8690b9b60cf79a71dcc661/FA302-02_Messagem+de+Alerta.pdf?MOD=AJPERES #### UPDATED IN 23 / 08/2017, the field action documentations sent by the company are filed in the area. If necessary, the area can reassess the action at any time.
  • 원인
    Calibration of the proximal and distal pressure sensor may vary, resulting in failure of the proximal or distal occlusal operation test of the pump.
  • 조치
    Sending the letters to the clients (hospitals and distributors) and updating the Technical Service Manual indicating the performance of the distal and proximal occlusion tests in annual preventive maintenance.

Manufacturer

  • 제조사 모회사 (2017)
  • Source
    ANVSANVISA