Novaline haemodialysis bloodlines used with Baxter/Gambro haemodialysis machines 를 위한 안전성 경고 / 현장 안전성 서한

Medicines and Healthcare products Regulatory Agency에 따르면, 해당 안전성 경고 / 현장 안전성 서한 는 United Kingdom 에서 Vital Healthcare Sdn for distribution by Baxter Healthcare Ltd 에 의해 제조된 제품과 관련되어 있습니다.

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현장 안전성 서한은 의료기기 제조사 또는 제조사 대리인이 시중에 유통되고 있는 자사 의료기기 제품에 대하여 취할 수 있는 조치를 알리는 소통방식입니다. 주요 대상층은 보건의료업계 종사자와 의료기기 사용자들입니다. 여기에는 회수(recall) 조치와 경고도 포함될 수 있습니다.

데이터에 대해 더 자세히 알아보기 여기
  • 사례 유형
    Safety alert / Field Safety Notice
  • 날짜
    2018-07-12
  • 사례 출판 날짜
    2018-07-11
  • 사례 국가
  • 사례 출처
    MHRA
  • 사례 출처 URL
  • 비고 / 경고
    Data from the United Kingdom is current through April 2019. All of the data comes from the Medicines and Healthcare products Regulatory Agency, 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 the United Kingdom.
  • 데이터 추가 비고
    Although the manufacturer has undertaken corrective actions to address some of the problems identified in the FSN, some ongoing checks are required when using the redesigned bloodlines.User checks for the following problems should be taken when using all models and manufacture dates of Novaline bloodlines:Problem
    Risk
    Action
    Blood pump on the machine does not stop when blood reaches the venous extracorporeal blood circuit.
    Blood loss
    Operator to check that the blood pump stops when blood reaches the venous drip chamber. If the operator recognises that the pump may not stop, Operator should stop the blood pump manually and then connect the patient
    Transducer protectors not connected properly
    Air entrance into the circuit
    Operator to check connections as per section 5.4 of IFU
    Rare events of improper or incorrect fitting between arterial chamber and machine holders
    Risk of air within the arterial chamber entering the bloodline circuit
    Operator must check that the arterial chamber is placed at the right hole of the holder suiting its size and is properly fitted in
  • 원인
    Manufactured by vital healthcare sdn for distribution by baxter healthcare ltd – specific product codes manufactured in 2017 have functional and assembly issues which may lead to air entering the system, blood loss, clotting and delays in treatment.
  • 조치
    Quarantine and return affected bloodlines Identify appropriate alternatives If suitable alternatives are not available, you should: undertake a local risk assessment prior to using the affected devices ensure users are aware of the seven problems listed within the FSN and are able to carry out the additional monitoring checks for each problem Ensure users continue to undertake checks for the problems listed in the Background section once redesigned 2018 models of Novaline bloodlines are in use. Share this information with home patients and satellite clinics who have been supplied with the affected products

Device

  • 모델명 / 제조번호(시리얼번호)
  • 제품 설명
    The bloodlines are manufactured by Vital Healthcare Sdn Bhd, for distribution by Baxter International Inc (Baxter Healthcare Ltd in UK).The bloodlines are used with Baxter/Gambro haemodialysis machines – see table below for machines that use the specific codes affected by the FSCA:Model of dialysis bloodline Product code NDC code (Scotland) Used with Baxter/Gambro haemodialysis machine BL 106 955443   Baxter AK 95 S, AK 96, AK 98, AK 200 S & AK 200 ULTRA S BL 224 955446   Baxter AK 200 S and AK 200 ULTRA S BL 24 955307   Baxter AK 95 S, AK 96, AK 98, AK 200 S BL 208 955445   Baxter AK 200 S and AK 200 ULTRA S BL 207 955448   Baxter AK 96, AK 98, AK 200 S, AK 200 ULTRA S BL 211 SN 955447   Baxter AK 200 S, AK 200 ULTRA S BL 148 SN 955305   Baxter AK 200 S, AK 200 ULTRA S BL200 HDF 955444 223978 Baxter AK 200 ULTRA S BL 10R 955300   Baxter AK 95 S, AK 96, AK 98, AK 200 & AK 200 ULTRA BL 245 955449 222896 Baxter AK 95 S, AK 96, AK 98, AK 200 S & AK 200 ULTRA S
  • Manufacturer

Manufacturer

  • 제조사 주소
    Distributor – Baxter Healthcare Ltd. Gerard Spicer Tel: 01604 704 665gerard_spicer@baxter.com
  • 제조사 모회사 (2017)
  • Source
    MHRA