Alerte De Sécurité sur Trade name: HCU-20 Cooling-Heating Unit. Technical Name: Cooling-Heating Unit. ANVISA registration number: 10390690023. Risk class: II. Model Affected: HCU-20. Affected serial numbers: All HCU-20 units manufactured.

Selon Agência Nacional de Vigilância Sanitária (ANVISA), ce/cet/cette alerte de sécurité concerne un dispositif en/au/aux/à Brazil qui a été fabriqué par Maquet Cardiopulmonary do Brasil Industria e Comercio Ltda; Maquet Cardiopulmonary GmbH.

Qu'est-ce que c'est?

Les alertes fournissent des informations importantes et des recommandations concernant les dispositifs médicaux. Le fait qu'une alerte soit émise ne signifie pas nécessairement qu'un dispositif soit dangereux. Les alertes de sécurité, qui sont envoyées tant aux travailleurs du secteur médical qu'aux utilisateurs de ces dispositifs, peuvent inclure des rappels. Elles peuvent être rédigées par des fabricants mais aussi par des autorités en charge de la santé.

En savoir plus sur les données ici
  • Type d'événement
    Safety alert
  • ID de l'événement
    2418
  • Date
    2017-12-01
  • Pays de l'événement
  • Source de l'événement
    ANVISA
  • URL de la source de l'événement
  • Notes / Alertes
    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.
  • Notes supplémentaires dans les données
    Fill out the attached Recognition Form and return it as soon as possible to your local Maquet representative. • Incorporate new water quality management procedures into their operation processes, and carry out any necessary training. • Continue to monitor hygiene (levels of contamination) according to your internal practices. • Immediately report any contamination findings to your local Maquet representative by filing a complaint. If you wish to notify technical complaints and adverse events use the following channels: Notivisa: Notices of adverse events (AE) and technical complaints (QT) for products subject to Sanitary Surveillance should be made through the NOTIVISA System. To access the System, you must register and select the Health Professional option, if you are a liberal professional or the Institution / Entity option, if you are a professional of an institution / entity. Technovigilance System: Patient or citizen can notify through the Technovigilance System / SISTEC access through the link Additional information: - Date of identification of the problem by the company: 10/26/2017 - Date of notification notice to Anvisa: 12/01/2017 The company that owns the affected product is responsible for contacting its customers in a timely manner. to ensure the effectiveness of the Field Action in progress. It stands out the joint responsibility of the distribution chain and use of health products in maintaining its quality, safety and efficacy, as well as the effectiveness of the Field Action, expressed by RDC 23/2012: "(...) Art 2 ° A holder of registration of health product is the holder of the registration / registration of health product with Anvisa. Single paragraph. The registration holder, as well as other agents involved from the production to the use of the product, or discarding it when applicable, are jointly and severally responsible for maintaining the quality, safety and efficacy of the health products to the final consumer. Art. 12 Distributors of health products shall forward to the registration holder, in a timely manner, the distribution map and other information requested for the notification and execution of field actions. (...) "
  • Cause
    Maquet cardiopulmonary, as well as different competent national authorities, received isolated reports indicating bacterial contamination in the system water of hcu 20 and hcu 30, including mycobacterial counts. the maquet hcu 20 and hcu 30 heating and cooling units are used to cool or heat a patient connected to an extracorporeal perfusion circuit and maintain the required patient temperature constant. thermal transfer takes place by means of a heat exchanger in the patient perfusion circuit and / or cardioplegia water circuit and / or by means of a heating / cooling blanket. there is no contact between the patient's bloodstream and the water of the system circulating through the heat exchanger. note: heating-cooling devices have never been and are not considered sterile products and should be handled carefully with regard to hygiene conditions in a surgical center.
  • Action
    Field Action Code FSCA-2017-10-16 triggered under the responsibility of Maquet Cardiopulmonary do Brasil Industria e Comercio Ltda. Updating, correcting, training and complementing the instructions for use. Even HCU 20 and HCU 30 did not emit contaminated aerosols, Getinge developed and validated new safe and easy-to-use water management procedures to be implemented in all HCU 20 and HCU 30 systems in the field. These new procedures will keep the HCU 20 and HCU 30 water circuits clean and plumbing running and provide consistent, reproducible system water conditions that create a "micro-friendly" environment - also against atypical mycobacteria. Disinfection is only periodic and does not mitigate microbial growth between disinfection intervals. The new HCU 20 / HCU 30 water quality management approach continually maintains constant water quality for the range applied. The HCU 20 Heating-Cooling Unit User Manual, Chapter 2, "Preparing for Operation - Filling an Empty Unit," and Chapter 5 "Maintenance" will be replaced by the Revised Instructions for Use - Heating Unit Water Quality Management- Cooling HCU 20 (MCV-GK-10000705) in the required language. Accordingly, the User Manual for Heating Units-Cooling HCU 30, chapters 4.1 "information on water hardness", 4.1.2 "weekly", 4.1.3 "monthly (or after every 100 hours of operation" and 4.3 "cleaning" will be replaced by the HCU 30 Heating-Cooling Water Quality Management (MCV-GK-10000706) in the language required. To avoid further contamination external water hoses for HCU 20 and / or HCU 30 by new hoses, when introducing water quality management procedures, and following the replacement interval defined annually. Otherwise, HCU 20 water quality management efficiency In a very rare case HCU 20 devices of model HCU 20-602 (and adapted HCU 20-601) can even be equipped with a UV lamp active in the tank. air to the new water quality management for HCU 20, this UV lamp should be deactivated by an authorized service technician of Getinge to avoid any side effects with the use of trisodium phosphate.

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