Type of Product |
Medical Device |
TGA Recall Reference |
RC-2016-RN-00886-1 |
Product Name/Description |
Synthesis, Avant & Primo2x Families Adult Oxygenator Mounting Brackets (used with Sorin 3T Heater-Cooler devices)
D632 Adult Open System Bracket Catalogue Number: 05046
Adult Oxy module Avant Bracket Catalogue Number: 050128
Synthesis “C” Bracket Catalogue Number: 050350
Synergy Bracket Catalogue Number: 050131
D626 Avant Holder Catalogue Number: 05040
D630 Avant Holder Catalogue Number: 05041
Synthesis Oxygenator Holder Catalogue Number: 050127
ARTG # 194514 |
Recall Action Level |
Hospital |
Recall Action Classification |
Class II |
Recall Action Commencement Date |
13/07/2016 |
Responsible Entity |
|
Reason/Issue |
LivaNova (Sorin) have found that certain oxygenator mounting brackets that include tubing that connects the Heater-Cooler 3T water circuit to the oxygenator could be a source of re-contamination (with non-tuberculous mycobacteria) of a clean Heater-Cooler 3T’s water circuit. This tubing is not subjected to disinfection as per the IFU for the Heater-Cooler.
If the Heater-Cooler 3T user failed to clean and disinfect the Heater-Cooler 3T resulting in contamination of the Heater-Cooler 3T and at some point later used oxygenator mounting bracket, the water from the contaminated Heater-Cooler 3T could cross-contaminate the Oxygenator mounting bracket’s internal tubing in which biofilm could develop. If a non-contaminated Heater-Cooler 3T was later connected to an Oxygenator mounting bracket that had been previously cross contaminated, the Oxygenator mounting bracket could contaminate the clean Heater-Cooler 3T. |
Recall Action |
Recall for Product Correction |
Recall Action Instructions |
LivaNova will replace the affected bracket and is providing advice to users on how to dispose of the affected Oxygenator bracket. The existing brackets can be used until a replacement unit can be provided.
This action has been closed out on the 26/09/2018. |
Contact Information |
03 9799 7444 - LivaNova |