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Type of Product Medical Device
TGA Recall Reference RC-2021-RN-01809-1
Product Name/Description Fluid Warming System and administration sets

Model names: Level 1 Fluid Warmer, Level 1 Fluid Warming System, Level 1 Normothermic I.V. Fluid Administration Set, NORMOFLO Fluid Warmer and NORMOFLO Irrigation Warming Set

Multiple model numbers

ARTGs 241980, 246532, 262481 and 246052
Recall Action Level Hospital
Recall Action Classification Class I
Recall Action Commencement Date 21/09/2021
Responsible Entity Smiths Medical Australasia Pty Ltd
Reason/Issue Smiths Medical has become aware that use of Fluid Warming Devices with uncoated aluminium heating elements under certain circumstances may result in exposure to harmful levels of aluminium. Potentially higher aluminium leaching may occur when using the flow rates of 30mL/min with certain solutions and blood products and with longer duration of use.

To date, Smiths Medical has identified no complaints, or reports of injury or death, associated with this issue.
Recall Action Product Defect Correction
Recall Action Instructions Smiths Medical are advising customers that potentially higher aluminium leaching from the devices may occur when using lower flow rates (e.g., 30mL/min), with certain solutions and blood products, and longer duration of use. Normal saline is preferred instead of balanced electrolyte solutions such as lactated Ringer's solution when clinically possible.

Customers are also advised to secure or display a provided placard (provided to impacted customers by the sponsor) with the printed instructions near each device and evaluate the benefits and risks of using the device versus the patient condition.
Contact Information 1800 654 949 - Customer Service Department - Smiths Medical