Recall Z-2447-2015 ยท CHL Electrode Measurement, Blood-Gases (Pco2, Po2) And Blood Ph
Roche Diagnostics Operations, Inc.
cobas b 123 Fluid Pack COOX REF 05170036001 400 Product Usage: The cobas b 123 POC system is a fully automated POC system for whole blood in vitro measurement of pH, blood gases (B3G), electrolytes NAT, K+, iCaWt (ISE), hematocrit (THct), metabolites (GLu, Lac) total hemoglobin (tHb), hemoglobin derivatives (O2Hb, HHb, COHb, MetHb), and oxygen saturation (SO2). The cobas b 123 POC system calculat
| Date | Aug 21, 2015 (initiated Jul 14, 2015) |
| Status | Terminated |
| Reason | Low PO2 results. QC failures of the PO2 parameter, affecting primarily Levels 1 and 2, caused by a calibration issue with the PO2 parameter. This issue may not be detected since QC results can be below mean values, but still within 2 standard deviations (SD) limits. Potential for erroneously low PO2 results in patient samples, especially in blood samples with PO2 values below 50 mmHg |
| Root cause | Nonconforming Material/Component |
| Action | Roche sent an Urgent Medical Device Correction letter dated July 14, 2015 and the Fax Back form via UPS ground to the customers list. The letter identified the affected product, problem and actions to be taken. Consignees are instructed to discontinue use of affected Fluid Packs and discard them per local guidlines; and complete and return the enclosed faxback form and fax it to 1-888-943-5171 to receive replacement product for Fluid Packs from the affected lot. For questions contact the Roche Support Network Customer Support Center, 24 hours a day, seven days a week at 1-800-526-2272. |
| Quantity | 82 Fluid Packs |
| Distribution | US Nationwide Distribution in the states of LA, SC, CA, TX, NE, VA and WV including: Puerto Rico. |
| FDA record | Open on fda.gov |
510(k) clearances named in this recall
| K111188 | COBAS B 123 POC SYSTEM, COBAS B 123 AUTOQC PACK TRI-LEVEL, COBAS B 123 AUTOCVC PACK, ROCHE COMBITROL PLUS B Roche Diagnostics, May 14, 2012 |