RecallDepth

HomeChoice PRO Automated Peritoneal Dialysis Systems; Manufactured for Baxter Healthcare Corporation, Deerfield, IL 60015 U.S.A., Made in U.S.A.; catalog numbers 5C8310, 5C8310R, R5C8320, R5C8320R

This recall has been terminated (originally issued January 15, 2005).

Company
Baxter Healthcare Renal Div
Recall Initiated
December 23, 2004
Posted
January 15, 2005
Terminated
December 11, 2007
Recall Number
Z-0397-05
Quantity
165 units
Firm Location
Mc Gaw Park, IL
Official Source
View on FDA website ↗

Reason for Recall

A software anomaly may allow concentrated solution to be infused into the patient when the HomeChoice unit is used with Physioneal Clear-Flex PD products.

Distribution

Those HomeChoice units in Denmark and Sweden only, where the Physioneal Clear-Flex products are approved for use.

Lot / Code Info

Units with software version 8.7 used with Physioneal Clear-Flex PD products

Root Cause

Other

Action Taken

Baxter notified the Danish Ministry of Health of the problem with the HomeChoice Pro not prompting the patient when using the Physioneal Clear-Flex PD products on 12/23/04. The patients in Denmark and Sweden will be re-evaluate and re-train each patient as needed using enhanced training materials, which will include the importance of and the rationales for breaking the peel-seal on teh Physioneal ClearFlex prior to use and what to do if mis-infusion occurs. Larger, adhesive, colored stickers will be affixed to all applicable HomeChoice Pro machines to further remind patients of the need to break all peel-seals prior to use. Patients will receive a new Pro-Card when their machine is exchanged, and the exchange will be documented. The HomeChoice Pro software will be updated to correct the software anomaly, validated and installed on the HomeChoice Pro machines.

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