Medical Device Alerts - MDA's - 2018 - 2019

The following Medical Device Alerts were issued in 2018 & 2019

2018 & 2019

Reference Date of Issue Title
MDA-2019-046 19 December 2019 Arrow EZ-IO intraosseous vascular access needle sets – risk of needle stick injury
MDA-2019-045 18 December 2019 ApexPro telemetry server – risk of loss of alarms for ECG and pulse oximetry monitoring
MDA-2019-044 12 December 2019 BritePro Solo and BriteBlade Pro single-use fibre optic laryngoscope blades and handles – risk of choking
MDA-2019-043 11 December 2019 Recall of Medicina IV Luer Slip syringe (IVS03) batch number 19040303
MDA-2019-042 05 December 2019 Natus gold cup electrodes and snap electrode leads – risk of electric shock
MDA-2019-041 04 December 2019 Spectra Optia apheresis: anticoagulant bags used with ‘Correct Connect’ connectors – risk of unbroken ‘frangible’ connector during use.
MDA-2019-040 27 November 2019 Alaris Gateway Workstation and Alaris Gateway Workstation Web Browser User Interface
MDA-2019-039 31 October 2019 Professional use defibrillator/monitor: Efficia DFM100 (Model number 866199) – risk of failure to switch on or unexpected restart
MDA-2019-038 29 October 2019 Syringe driver pumps: T34™ 3rd edition models only – stop using the pump until updated instructions for use and BodyCommTM V3.0 software are released
MDA-2019-037 10 October 2019 Prismaflex haemofiltration systems installed with software versions 8.10, 7.20 and lower – risk of unexpected machine shutdown during treatment
MDA-2019-036 10 October 2019 Specific Hudson RCI Sheridan endotracheal tubes and connectors - 15 mm connector may detach from the tube before or during use
MDA-2019-035 9 October 2019 Rocket and NuSurgix fetal blood sampling (FBS) amnioscopes and FBS kits – stop using ethyl chloride spray during the fetal blood sampling procedure with these devices
MDA-2019-034 9 October 2019 Intraoperative probe cover with long Surgi-tip – risk of infection due to manufacturing failure (specific lot numbers affected)
MDA-2019-033 8 October 2019 Anaesthetic face masks – Specific Intersurgical Economy 22F taper connection may be oversized and leak or disconnect from the breathing circuit
MDA-2019-032 03 October 2019 Breathing circuit swivel elbow – recall due to risk of cracks forming before or during use
MDA-2019-031 30 September 2019 Kiwi Complete Vacuum Delivery System – risk of failure to achieve or maintain vacuum during use (specific lot affected)
MDA-2019-030 18 September 2019 All models of T34 ambulatory syringe pumps – updated cleaning advice and maintenance requirements due to the risk of fluid ingress
MDA-2019-029 12 September 2019 Deltec Gripper non-coring needles and PORT-A-CATH trays containing Gripper needles – recall due to risk of needle occlusion
MDA-2019-028 27 August 2019 Microneedling pens: Dermapen 3 and Dermapen Cryo sterile single use needle cartridge tips for: Dermapen 3 – risk of injury or infection
MDA-2019-027 25 July 2019 Automated external defibrillators: All Telefunken HR1 & FA1 – no valid CE certificate
MDA-2019-026 24 July 2019 Professional use capillary blood specimen collection: BD Microtainer® tubes – risk of blood leakage and/or incorrect test results due to defective tubes
MDA-2019-025 02 July 2019 IntelliVue MX40 patient-worn monitors – increased power consumption and no visual or audible alarms when batteries are low
MDA-2019-024 26 June 2019 BBraun Dialog+ SW versions 9.xx (excluding versions 9.18, 9.1A, 9.1B) haemodialysis machines – upgrade of software required
MDA-2019-023 04 June 2019 Recommendations for ongoing use of paclitaxel drug coated balloons (DCBs) and implantable drug eluting stents (DESs) in the treatment of patients with peripheral artery disease (PAD)
MDA-2019-022 30 May 2019 Aisys & Aisys CS2 anaesthesia devices with Et Control option & software versions 11, 11SP01 & 11SP02 – risk of patient awareness due to inadequate anaesthesia
MDA-2019-021 01 May 2019 Updated: Nellix Endovascular Aneurysm Sealing (EVAS) System - Device recall and enhanced patient surveillance (Note: This Medical Device Alert (MDA) updates guidance previously given in MDA-2019-002 issued 25 January 2019.)
MDA-2019-020 01 May 2019 Updated: Nellix Endovascular Aneurysm Sealing (EVAS) System - Device recall and enhanced patient surveillance (Note: This Medical Device Alert (MDA) updates guidance previously given in MDA-2019-002 issued 25 January 2019.)
MDA-2019-019 25 April 2019 Ethicon Curved Intraluminal Staplers – risk of failure of staple lines
MDA-2019-018 29 March 2019 Fresenius 5008 & 5008S haemodialysis machines – low risk of inadequate fluid removal during treatment
MDA-2019-017 20 March 2019 Pagewriter Cardiographs (TC20/30/50/70) manufactured before 20 November 2018 and Efficia Monitors (CM10/12/100/120/150) manufactured before 25 October 2018 – risk of batteries overheating or igniting
MDA-2019-016 19 March 2019 enFlow® IV fluid and blood warmer - risk of unsafe levels of aluminium leaching from the device – updated safety advice from manufacturer
MDA-2019-015 8 March 2019 enFlow® IV fluid and blood warmer - risk of unsafe levels of aluminium leaching from the device * Please note - This has been replaced by MDA-2019-016
MDA-2019-014 07 March 2019 All Bard urogynaecological mesh – voluntary product withdrawal, implanted devices do not need to be removed
MDA-2019-013 04 March 2019 All T34 ambulatory syringe pumps need a sponge pad fitted to the battery compartment to prevent battery connection issues
MDA-2019-012 28 February 2019 Potentially breached sterile packaging of: rectal tubes, Unoversal drainage systems, SimpaVac, sterile suction connecting tubes, sterile connecting pieces, suction handles/sets (FilterFlow™/Deltaflo), oxygen catheters, sterile nasal oxygen cannulas, sterile oxygen connecting tubes, and sterile forceps
MDA-2019-011 27 February 2019 Multi parameter patient monitors: Carescape B450, B650, B850, B20, B40, B20i, B40i, B125, B105, Dash 3000,4000,5000, Solar 8000M/i, 9500 – risk of loss of patient monitoring
MDA-2019-010 20 February 2019 Professional use monitor/defibrillator: LIFEPAK 15 – risk of device failure during patient treatment and possible failure to deliver therapy
MDA-2019-009 19 February 2019 Accu-Chek® Insight insulin pumps – some need to be fitted with key frames to reduce the risk of accidentally unlocking keys or pressing the bolus buttons
MDA-2019-008 13 February 2019 Implantable cardiac pacemakers: specific brands of dual chamber pacemakers - risk of syncope due to pause in pacing therapy
MDA-2019-007 13 February 2019 Ophthalmic implant Raindrop Near Vision Inlay – risk of corneal haze
MDA-006-2019 08 February 2019 Orthopaedic implant rHead Radial Head and Uni-Elbow: risk of early loosening
MDA-2019-005 30 January 2019 Recall of certain batches of Eurotrol haemoglobin controls due to microbial contamination
MDA-2019-004 30 January 2019 Arjo Minstrel passive floor lift (portable hoist) – risk of spreader bar detachment from lifts WITHOUT a scale
MDA-2019-003 29 January 2019 FreeStyle Libre flash glucose sensor – Use of barrier methods to reduce skin reactions to the sensor adhesive
MDA-2019-002 25 January 2019 Nellix Endovascular Aneurysm Sealing (EVAS) System - Device recall and enhanced patient surveillance

This MDA has been updated- please see MDA-2019-021 for updated guidance

MDA-2019-001 17 January 2019 Datex-Ohmeda Aisys CS2 and Aisys anaesthesia devices with software version 11 and version 11 SP01 (Service Pack) – Risk of ventilation loss, inadequate anaesthesia and hypoxia or severe hypotension
MDA-2018-037 21 December 2018 Fabian +nCPAP evolution, Fabian Therapy evolution and Fabian HFO – Risk of total loss of patient ventilation.
MDA-2018-036 29 November 2018 Batteries for the HeartStart MRx monitor/defibrillator may fail to charge or to provide power.
MDA-2018-035 14 November 2018 All T34 ambulatory syringe pumps – update concerning battery information
MDA-2018-034 14 November 2018 Suction catheters, gastro-enteral tubes, intermittent urology catheters and sterile urine drainage bags – potential breach in sterile barrier packaging.          Additional Devices Affected - Please see MDA-2019-012
MDA-2018-033 08 October 2018 CoaguChek Test Strips for Point of Care and Home Use – risk of false high results
MDA-2018-032 24 September 2018 Various trauma guide wires – risk of infection due to packaging failure
MDA-2018-031 19 September 2018 SureSigns VS & VM patient monitors and Viewing stations manufactured before May 2018: risk of batteries overheating or igniting
MDA-2018-030 19 September 2018 Flex connectors in Halyard Closed Suction Kits – risk of interruption of ventilation
MDA-2018-029 13 September 2018 BenchMark Automated Slide Stainer series – FLO LOK III Reagent Dispenser Issue for IHC and ISH kits including INFORM HPV III Family 16 Probe (B).
MDA-2018-028 01 August 2018 Orthopaedic bone plates and cortical screws: ADVANSYS MLP-DLP; ADVANSYS TTC; Large QWIX; TIBIAXYS and UNI-CP–Sterile – Risk of infection
MDA-2018-027 26 July 2018 Breast implants, all types, makes and models – Continue to report suspected cases of Breast Implant Associated - Anaplastic Large Cell Lymphoma (BIA - ALCL)
MDA-2018-026 23 July 2018 First generation JOURNEY BCS Knee System– Higher than expected risk of revision
MDA-2018-025R 12 July 2018 Novaline haemodialysis bloodlines used with Baxter/Gambro haemodialysis machines – Recall of specific products due to various problems encountered during clinical use
MDA-2018-025 11 July 2018 Novaline haemodialysis bloodlines used with Baxter/Gambro haemodialysis machines – Recall of specific products due to various problems encountered during clinical use
MDA-2018-024R 12 July 2018 All Alaris™ and Asena™ GS, GH, CC, TIVA, PK, enteral syringe pumps – risk of uncontrolled bolus of medicine.
MDA-2018-024 11 July 2018 All Alaris™ and Asena™ GS, GH, CC, TIVA, PK, enteral syringe pumps – risk of uncontrolled bolus of medicine.
MDA-2018-023 05 July 2018 Combur10 Test UX and Chemstrip 10 A test strips – risk of falsely low results when measuring test strips on the Urisys 1100 urine analyser.
MDA-2018-022R 06 July 2018 SAM XT Extremity Tourniquet – Recall due to the risk of tourniquet failing in use
MDA-2018-022 05 July 2018 Recall due to the risk of tourniquet failing in use
MDA-2018-021 21 June 2018 Alaris Smartsite Add-On Bag Access device – removal and destruction of specific batches due to risk of disconnection or leakage
MDA-2018-020 20 June 2018 Smiths Medical CADD® Non Flow-Stop Medication Cassette Reservoirs – recall of specific lots due to risk of under delivery of medication
MDA-2018-019 11 June 2018 JM103 and JM105 Jaundice Meters – risk of misinterpretation of measurement in hyperbilirubinemia cases
MDA-2018-018 31 May 2018 Various Arrow Critical Care devices – recall due to incomplete packaging seals
MDA-2018-017 24 May 2018 Cook Vacuum Pump for IVF – risk of electric shock or burn to operator
MDA-2018-016 18 May 2018 Home use and Point of Care blood glucose monitoring system: Accu-Chek Aviva, Accu-Chek Performa and Accu-Chek Inform II test strips – risk of strip error messages and false high and low blood glucose results
MDA-2018-015 16 May 2018 Gambro Ultrafilter U9000 microbial water filter for haemodialysis – risk of hypovolemia due to filter leaks during use
MDA-2018-014 02 May 2018 Infinity Acute Care System and M540 Patient Monitors software versions VG2.2-VG6.0 – risk that alarms are not activated
MDA-2018-013 01 May 2018 cobas b 221 instruments with AutoQC module – software limitation affecting automatic QC measurements
MDA-2018-012 26 April 2018 BD Vacutainer® EDTA & BD Vacutainer® Lithium Heparin Tubes – risk of incorrect results for lead testing or other assays using ASV methodology
MDA-2018-011 20 April 2018 Bone Cement: Optipac 40 Refobacin Revision and Optipac 80 Refobacin Revision – Risk of revision
MDA-2018-010 28 March 2018 All T34 ambulatory syringe pumps – risk of unintended pump shutdown and delay to treatment
MDA-2018-009 03 March 2018 Bag valve mask (BVM) manual resuscitation system – risk of damage to lungs by delivery of excessive pressure
MDA-2018-008 22 February 2018 Aquilon series of nebulisers – CE mark withdrawn and supply ceased
MDA-2018-007 15 February 2018 Zimmer Biomet, specific hip and trauma instruments: risk of infection
MDA-2018-006 15 February 2018 Plum 360 infusion pumps – user actions required to prevent risk of interrupted infusion or delay to treatment
MDA-2018-005 15 February 2018 Roche Tissue Diagnostics (Ventana Medical Systems) – OptiView DAB IHC Detection Kit, UltraView Universal DAB Detection Kit, OptiView Amplification Kit and Hematoxylin II – Dispenser failure of Hematoxylin II and Horseradish Peroxidase reagents.
MDA-2018-004 14 February 2018 Recall of specific lots of RUSCH sensor (series 400) silicone and non-sterile rectal/ pharyngeal temperature sensors
MDA-2018-003 22 January 2018 In vitro fertilisation (IVF) and assisted reproduction technologies (ART) products - precautionary measure
MDA-2018-002 15 January 2018 All Philips HeartStart MRx monitors/defibrillators – significant delay in the supply of batteries
MDA-2018-001 12 January 2018 Pacemakers & CRT-P - oversensing of minute ventilation sensor signal leading to risk of syncope & pre-syncope

 

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