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“衛寶”普利司連續性血液淨化裝置等2張許可證之安全警訊
| 發布日期:2019-11-22 | 更新日期:2019-11-22 發布單位:醫療器材及化粧品組

“衛寶”普利司連續性血液淨化裝置

“百特”連續性血液淨化儀器

安全警訊

許可證字號:

衛署醫器輸字第023244

衛部醫器輸字第029474

產品英文名稱:

Gambro Prismaflex

Baxter Prismaflex Machine

受影響規格/型號/批號:

型號

序號

107493113082113874114489115270

PA10458PA10459PA10460PA10466PA10735PA10736PA10737PA10738PA11089PA11253PA11254PA11261PA11264PA11265PA12152PA12154PA12155PA12271PA12274PA12276PA12283PA12284PA12382PA12417PA12421PA12422PA13711PA13819PA13828PA1504PA15300PA15301PA15303PA15304PA15305PA15306PA15308PA15942PA15948PA15949PA15950PA15952PA16178PA16206PA16350PA16354PA16367PA16401PA16487PA16504PA1679PA1681PA1682PA1683PA1685PA17251PA17269PA17278PA17538PA17539PA17540PA17541PA17542PA17572PA17673PA17674PA17769PA17874PA18189PA18194PA18195PA18196PA18197PA18207PA18211PA1875PA1879PA1880PA1882PA1883PA18866PA18867PA18868PA18870PA18890PA18891PA18938PA21009PA21013PA21019PA21020PA21176PA21177PA21178PA21179PA21180PA21274PA21277PA21290PA21465PA21466PA21467PA21468PA21512PA21575PA21576PA21577PA21590PA21591PA21919PA21921PA21922PA21923PA21924PA21925PA21936PA21987PA22056PA22202PA2256PA2257PA2258PA22751PA22752PA22755PA22756PA22759PA22881PA22882PA22883PA22885PA22886PA22887PA22888PA22889PA22890PA22905PA23273PA23274PA23275PA23276PA23277PA23278PA23279PA23280PA23281PA23282PA2933PA2934PA2935PA2936PA3126PA3138PA3157PA3227PA3230PA3245PA3382PA3620PA3649PA3651PA3652PA3789PA3794PA4101PA4102PA4138PA4230PA4232PA4233PA4289PA4290PA4291PA4310PA4313PA4315PA4316PA4765PA4772PA4773PA4775PA4954

發布對象:醫療從業人員/醫療器材專業人員

警訊說明:(回收/矯正原因描述)

受影響產品之控制單元(Control Unit)通訊錯誤頻率異常,進而可能造成治療中斷、延遲或由於體外循環迴路未回復(non-restitution)而失血。如發生前述錯誤,使用者必須遵照使用介面顯示之圖示及/或原廠操作手冊以手動操作將體外循環迴路中的血液回送給患者。總公司將進行軟體版本升級,以降低通訊錯誤警示發生的頻率。

國內矯正措施:

經查,國內進口之受影響型/序號產品234台,受影響使用單位共59家,百特醫療產品股份有限公司於1081021日開始通知受影響客戶升級軟體版本,並預計於109630日前完成。

廠商聯絡資訊:

公司名稱:百特醫療產品股份有限公司

聯絡電話:02-23785000

聯絡人電子郵件:Taiwan_QAreport@baxter.com

相關警訊來源(網址)

澳洲TGA

http://apps.tga.gov.au/PROD/SARA/arn-detail.aspx?k=RC-2019-RN-01484-1

英國MHRA

https://www.gov.uk/drug-device-alerts/prismaflex-haemofiltration-systems-installed-with-software-versions-8-10-7-20-and-lower-risk-of-unexpected-machine-shutdown-during-treatment-mda-2019-037

瑞士Swissmedic

https://fsca.swissmedic.ch/mep/api/publications/Vk_20190910_01/documents/2