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Company: Olympus America, IncDate of Enforcement Report: 8/27/03 Class: II PRODUCT Olympus Image Manager Software. Recall # Z-1126-03. REASON Software defect; potential under certain circumstances to incorrectly identify endoscopy images that have been uploaded & saved to the network system. CODE Versions 6.0 through 6.4. RECALLING FIRM/MANUFACTURER Olympus America, Inc., Melville, NY, by letters, dated...
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Company: Siemens Medical Solutions USA, IncDate of Enforcement Report: 8/27/03 Class: II PRODUCT a) MR Systems. Recall # Z-1087-03; b) Leonardo Workstations with software version 2022A/B, 2003A. Recall # Z-1088-03; c) Leonardo Workstations with software versions prior to 2022A. Recall # Z-1089-03. REASON Software problem. This error may cause the loss of peripheral image information...
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Company: Invacare Corp. Product: Power wheelchairs and scooters Date: 8/26/03 With regard to the 80 amp fuse and …wire assembly, the May 15, 2003 and May 20, 2003 responses indicate that an 80 amp current through this assembly is only sustained for a short period of time. Invacare states that a continuous 80 amp current...
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An article in the August 22, 2003, Los Angeles Times by Charles Ornstein and Tracy Weber, Times Staff Writers, describes an incident where “two patients die after alarms fail”. Read article:  LATimesarticle822
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Company: Boston Scientific Corp.Product: Investigational medical device Date: 8/22/03 For example, the …and the …do not describe whether the monitor should verify all case histories and related documentation or only select a representative sample during the visit. If a sample is to be selected, the procedures do not state the size and composition of this...
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Company:Astro Instrumentation LLCProduct: Chemistry analyzers and renal dialysis filter reprocessing system Date: 8/21/03 Your August 4, 2003 response stated that you routinely use electronic copies of the manufacturing procedures and that a lack of a computer at this work station prompted the use of a paper copy. The response states that you have placed a...
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Company: Alcon Laboratories, IncDate of Enforcement Report: 8/20/03 Class: II PRODUCT “Alcon Ladarwave Custom Cornea Wavefront System” Aberrometer software Version 7.91. Recall # Z-1078-03. REASON Software error could, under specific circumstances, allow the patient’s centration images and data to be stored incorrectly. CODE Serial Numbers: LWN1002Z LWN1003Z LWN1010Z LWN1011Z LWN1013Z LWN1023Z LWN1025Z LWN1035Z LWN1040Z LWN1440Z...
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Company: Misys Healthcare SystemsDate of Enforcement Report: 8/20/03 Class: II PRODUCT Misys Laboratory System. Recall # Z-1092-03. REASON Patient files become mixed up due to a software defect. CODE Version 5.3. RECALLING FIRM/MANUFACTURER Misys Healthcare System, Tucson, AZ, by fax on July 2, 2003. Firm initiated recall is complete. VOLUME OF PRODUCT IN COMMERCE 1....
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Company: Misys Healthcare SystemsDate of Enforcement Report: 8/20/03 Class: II PRODUCT Misys Laboratory System. Recall # Z-1090-03. REASON Software anomaly allows patient reports to contain incomplete data used for Anatomic Pathology Module. CODE Version 5.3 and up to 5.3.2 with Anatomic Pathology Module. RECALLING FIRM/MANUFACTURER Misys Healthcare Systems, Tucson, AZ, by fax on June 16,...
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Company: Bioflex Inc..Product: Electrical stimulation devices Date: 8/18/03 Failure to establish procedures to ensure that equipment is routinely calibrated, checked and maintained. [21 CFR 820.72(a)] For example, the…meter used to test the electrodes on the BioShort electronic stimulation garments has not been calibrated and there is no calibration program for this meter. Failure to establish...
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Company: Abbott Laboratories HPD/ADDDate of Enforcement Report: 8/6/03 Class: II PRODUCT AxSYM AFP Reagent Pack, list 7A48-22 (100 test kit), 7A48-21 (French label), and AxSYM Cancer Assay Disk, list 3D50-02 (Version 2.0), 3D50-03 (Version 3.0), and 3D50-04 (Version 4.0). Recall # Z-1047-03. REASON AFP results obtained when using the 1:101 automated dilution protocol showed an...
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Company: Medex, IncDate of Enforcement Report: 8/6/03 Class: II PRODUCT Medex 2000 Series Syringe Infusion Pumps. The 2001 series is a general use pump, 2001E is for German use, 2001G is for use in the UK, 2001T is for use in Taiwan, 2010iK is for use in Korea, (the pumps with different languages have different...
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Company: Roche Diagnostics, CorpDate of Enforcement Report: 8/6/03 Class: II PRODUCT MagNA Pure LC Instrument, Catalog number 2236931. Recall # Z-1044-03. REASON A software bug in version 3.0 may result in prolonged mixing time, evaporation of elution volume and biased sample results for various protocols. CODE All systems using software version 3.0. RECALLING FIRM/MANUFACTURER Roche...
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The AAMI Software Risk Management Technical Information Report working group has issued a draft for comment to those interested in providing early informal feedback. Contact one of the co-chairs for more information: Alan Kusinitz Managing Partner of SoftwareCPR at alan@softwarecpr.com or Paul Jones of FDA at pxj@fdadr.cdrh.gov.
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Company: Misys Healthcare SystemsDate of Enforcement Report: 7/30/03 Class: II PRODUCT Misys Laboratory System. Recall # Z-1007-03. REASON Software anomally. Results with a global flag failure that autofile without review can cause abnormal results being communicated without associated abnormal disignations. CODE Versions 5.2, 5.23, and 5.3. RECALLING FIRM/MANUFACTURER Misys Healthcare Systems, Tucson, AZ, by fax...
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Company: Roche Diagnostics, CorpDate of Enforcement Report: 7/30/03 Class: II PRODUCT MagNA Pure LC Instrument; Catalog number 2236931. Recall # Z-1001-03. REASON Potential for false negative patient results with software version 3.0. CODE All units with software version 3.0. RECALLING FIRM/MANUFACTURER Roche Diagnostics, Corp., Indianapolis, IN, by letter dated May 27, 2003. Firm initiated recall...
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Company: Siemens Medical Solutions USA, Inc.Date of Enforcement Report: 7/30/03 Class: II PRODUCT Magic View 1000U, version VE40A. Digital Image Communication System. Recall # Z-1029-03. REASON Software issue. New examinations may not be saved properly and the examination may be lost. CODE Part number 7502003. RECALLING FIRM/MANUFACTURER Siemens Medical Solutions USA, Inc., Malvern, PA, by...
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Company: Mercy Medical Center Product: Blood bank facility Date: 07/25/03 Failure to maintain an adequate number of trained and experienced personnel for the processing, compatibility testing, storage, and distribution of blood or blood components. For example, employee…who was responsible for completing validation of the …software, was also responsible for Quality Assurance, supervisory and administrative duties,...
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Company: Deltec, Inc.Date of Enforcement Report: 7/23/03 Class: II PRODUCT Deltec CASS-Prizm PCS II Ambulatory Infusion Pump with Revision E Software. Recall # Z-0980-03. REASON Pump keyboard entries by the patient can result in the patient having unintended access to programming screens and result in improper drug dosage. CODE Pump Serial numbers 658825, 658837, 658840,...
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Company: Siemans Medical Solutions USA, IncDate of Enforcement Report: 7/23/03 Class: II PRODUCT Acuson Cypress Echocardiography System, Imaging System. Catalog # 8264604. Recall # Z-0975-03. REASON Software problem – loss of data. CODE Serial numbers 70000 through 72000. RECALLING FIRM/MANUFACTURER Siemans Medical Solutions USA, Inc., Plymouth Meeting, PA, by letter dated April, 2003. Firm initiated...
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Company: Siemans Medical Solutions USA, IncDate of Enforcement Report: 7/23/03 Class: II PRODUCT Axiom Aristos X-Ray System. Recall # Z-0984-03. REASON Software malfunction. May indicate that the image is flipped when it is not. CODE Part numbers 5895003 and 7414803. Serial numbers 01001, 01170, 01219, 01221, and 01030. RECALLING FIRM/MANUFACTURER Siemens Medical Solutions USA, Inc.,...
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Company: Siemans Medical Solutions USA, IncDate of Enforcement Report: 7/23/03 Class: II PRODUCT Axiom Sensis. Programmable Diagnostic Computer. Recall # Z-0979-03. REASON Software problem – erroneous results or system crashes. CODE Part numbers 6623974 and 6634633. Serial numbers 06011, 06012, 06018, and 02016. RECALLING FIRM/MANUFACTURER Siemens Medical Solutions, USA, Inc., Malvern, PA, by letter in...
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Company: South Texas Blood and Tissue CenterProduct: Blood facility Date: 7/17/03 Your facility failed to check input to and output from its computer and related systems for accuracy [21 CFR 211.68(b)]. For example, Your facility’s _____ computer system and _____ lacked controls or procedures to prevent improper sample analysis or mix-ups. As explained above (1.a),...
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Company: Draeger Medical, Inc.Date of Enforcement Report: 7/16/03 Class: II PRODUCT Evita 4 Continuous Ventilator. Catalog numbers 4116640 and 8412980. Recall # Z-0954-03. REASON Software problems – ventilation mode changes without user input, settings change without corresponding display change, false auto-set alarm. CODE Software version 4.00 or 4.10. RECALLING FIRM/MANUFACTURER Draeger Medical, Inc., Telford, PA,...
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Company:Canon USA, Inc.Date of Enforcement Report: 6/25/03 Class: II PRODUCT Rational Imaging TM Software, model Ultra 10 PACS System. Recall # Z-0905-03. CODE RIUpdate 7.1.OK. RECALLING FIRM/MANUFACTURER Canon USA, Inc., Irvine, CA, by letters on March 11, and March 26, 2003. Firm initiated recall is ongoing. REASON Imaging archive system software mismatches images and patient...
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Company:Fujifilm Medical System USA, Inc.Date of Enforcement Report: 6/25/03 Class: II PRODUCT Synapse. Recall # Z-0932-03. REASON Synapse Version 2.2.1 and 2.3.1software (Free-Hand Region) may lead to incorrect density calculations during CT scan. CODE Version 2.2.1 and 2.3.1. RECALLING FIRM/MANUFACTURER Fujifilm Medical System USA, Inc., Stamford, CT, by letter during the week of May 12,...
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Company:Guidant Corp-Cpi Division.Date of Enforcement Report: 6/11/03 Class: II PRODUCT a) Pulsar Multiprogrammable Pacemaker, DDD Model 970. Recall # Z-0875-03; b) Pulsar Multiprogrammable Pacemaker, DDD Model 972. Recall # Z-0876-03; c) Pulsar Multiprogrammable Pacemaker, DDD Model 976. Recall # Z-0877-03; d) Pulsar Multiprogrammable Pacemaker, DDDR Model 1270. Recall # Z-0878-03; e) Pulsar Multiprogrammable Pacemaker, DDDDR...
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Company: MagneVu Product: Portable magnetic resonance imaging (MRI) system Date: 07/11/03 Software validation activities for computers or automated data processing systems used as part of production have not been performed or documented [21 CFR 820.70(i)]. Specifically, the Eng MagMRI software used for engineering and servicing of the MagneVu 1000 MRI System has not been validated....
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Company: Roche Molecular Systems, Inc.Date of Enforcement Report: 6/11/03 Class: II PRODUCT COBAS TaqMan analyzer, Series 96; catalog number 8080216. Recall # Z-0917-03. REASON A false positive result may be reported. CODE All units with software versions TaqLink v 1.0 or TaqLink v 1.1. RECALLING FIRM/MANUFACTURER Roche Molecular Systems, Inc., Belleville, NJ, by telephone, and...
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Company: Siemens Medical Solutions USA, Inc.Date of Enforcement Report: 6/04/03 Class: III PRODUCT a) Acuson Diagnostic Ultrasound System Transducer; Model Number(s): L582 Linear Array Transducer for use on the 128XP Ultrasound System; Catalog Numbers: 23656 (New), 45441 (Refurb). Recall # Z-0864-03; b) Acuson Diagnostic Ultrasound System Transducer; Model Number(s): L582 Linear Array Transducer for use...
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Company: Philips Medical Systems (Cleveland) IncDate of Enforcement Report: 6/04/03 Class: III PRODUCT a) Philips MX8000 IDT CT Scanner, utilizing V2.1 software. Recall # Z-0835-03; b) Philips MX8000 Dual v, Exp CT Scanner, utilizing V2.0 software. Recall # Z-0836-03; REASON Patient images may be incorrectly stored in the archive directory of a different patient. CODE...
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Company: Abbott Laboratories, IncDate of Enforcement Report: 5/28/03 Class: II PRODUCT a) Gemstar_ 7 Therapy I.V. Infusion Pump, List#: 13000-04; 2.9 Software Version. Recall # Z-0792-03; b) Gemstar_ 6 Therapy I.V. Infusion Pump, List#: 13100-04; 2.9 Software Version. Recall # Z-0793-03; c) Gemstar_ Therapy Pain Management I.V. Infusion Pump, List#: 13150-04; 2.9 Software Version. Recall...
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Company: Beckman Coulter, Inc.Date of Enforcement Report: 5/28/03 Class: III PRODUCT COULTER PrepPlus and PrepPlus 2, Pipetting and Diluting station for Clinical Use. Recall # Z-0805-03. REASON Software problem may cause the instrument to skip the probe-wash step before processing different reagents. CODE All existing versions of the software. Serial numbers PrepPlus 0006026440 and above...
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Company: Deltec, Inc.Date of Enforcement Report: 5/28/03 Class: II PRODUCT Deltec Cozmo Insulin Pump, Model 1700, Product Catalog Numbers 21-1711-01, 21-1712-01 and 21-1713-01. The 3 versions vary only in the color of the exterior. Recall # Z-0798-03. REASON A software error can result in the delivery of a larger bolus of insulin than anticipated when...
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Company: Misys Healthcare SystemDate of Enforcement Report: 5/28/03 Class: III PRODUCT Misys Commercial Laboratory, Laboratory Information System. Recall # Z-806-03. REASON Software logic error. Dates were printing incorrectly on cumulative reports. CODE Version 3.4.1. RECALLING FIRM/MANUFACTURER Misys Healthcare System, Plano, TX, by letter on March 13, 2003. Firm initiated recall is complete. VOLUME OF PRODUCT...
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Company: Misys Healthcare SystemsDate of Enforcement Report: 5/28/03 Class: II PRODUCT Misys Laboratory System. Recall # Z-0804-03. REASON Software anomaly may result in incorrect values and interpretations. CODE Versions 5.23 and 5.3. RECALLING FIRM/MANUFACTURER Misys Healthcare Systems, Tucson, AZ, by fax on March 27, 2003. Firm initiated recall is ongoing. VOLUME OF PRODUCT IN COMMERCE...
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Company: Philips Medical Systems (Cleveland) IncDate of Enforcement Report: 5/28/03 Class: III PRODUCT a) Philips MX8000 IDT CT Scanner, utilizing V2.1 software. Recall # Z-0835-03. b) Philips MX8000 Dual v. EXP CT Scanner, utilizing V2.0 software. Recall # Z-0836-03. REASON Patient images may be stored in the archive directory of a different patient. CODE a)...
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Company: Siemens Medical Solutions USA, IncDate of Enforcement Report: 5/28/03 Class: II PRODUCT a) Leonardo MM-WS systems. System, Image Processing. Recall # Z-0841-03; b) Smatom Sensation 16, Computed Tomography System, Diagnostic Imaging. Recall # Z-0842-03. REASON Perfusion CT is displaying a higher gray and color values than normal. A software problem. CODE a) Model Number...
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Company: Abbott Laboratories, IncDate of Enforcement Report: 5/21/03 Class: II PRODUCT AEROSET ICT Module, Reagent module for sodium, potassium, and chloride. List number 9D05-01. Recall #Z-0788-03. REASON Software failure to detect error in reference solution set-up can cause inaccurate results for Sodium, Potassium, and Chloride. CODE All lots. RECALLING FIRM/MANUFACTURER Abbott Laboratories, Inc., Irving, TX,...
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On February 20, 2003, a final security rule 45 CFR Part 142 was issued. A copy is at this link: HIPAA Final Security Rule 2003-02. Medical Device manufacturers that produce devices that will maintain patient data should be aware of HIPAA privacy and security requirements to assure appropriate features are incorporated in their devices to...
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A presentation of a proposal for EU software regulation at the ISPRA meeting on Medical Device Software May 13, 2003, is at the link provided. Some of the suggestions are based on FDA guidance documents. ISPRA Meeting on SW This presentation was provided by Poul Schmidt-Andersen of Copenhagen Medical Devices, which is an affiliate of SoftwareCPR....
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Company: ConMed Corp. Product: Hyfrecator 2000 and other electrosurgical devices and accessories Date: 05/08/2003 Failure to validate computer software for its intended use according to an established protocol prior to approval and issuance, and document the results of these validation activities, as required by 21 CFR 820.70(i). For example, a software program used to run...
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Company: Antelope Valley Healthcare District Product: Blood and blood components Date: 05/01/2003 Specifically, the procedure “Donor Registration and Medical Interview,” which includes instructions for entering deferral information into the computer system based on disqualifying information provided during the donor screening process, does not provide details concerning the documentation of information (such as exposure dates) so...
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Company: Abbott Laboratories, IncDate of Enforcement Report: 4/30/03 Class: III PRODUCT Aeroset Software versions 1.00ER005, catalog number 2-89996-01; and software version 1,00ER005.2, catalog number 2-89996-02. Recall # Z-0725-03. REASON Under certain operating conditions, smart wash feature disables with multiple samples. CODE No codes. RECALLING FIRM/MANUFACTURER Abbott Laboratories, Inc., Irving, TX, by letter on February 24,...
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Company: Siemens Medical SolutionsDate of Enforcement Report: 4/30/03 Class: III PRODUCT ICON 9.5 Software used on the ICON workstations designed for use with the E.CAM Emission Imaging Computed Tomography Systems. Recall # Z-0727-03. REASON ICON 9.5 software does not apply flood corrections during whole body SPECT studies with multiple bed positions. CODE All Diacam, Multispect...
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Company: Misys Healthcare SystemsDate of Enforcement Report: 4/23/03 Class: III PRODUCT Misys Laboratory_ Blood Bank System computer software (3 versions). Recall # B-0791-3. REASON Blood bank computer software contained a defect that could result in the incomplete displaying of red blood cell antigen and antibody information for a unit of blood. CODE Version numbers 5.2,...
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