Retiro De Equipo (Recall) de RAPIDPoint 500 Blood Gas Analyser with V2.4 Software

Recall

RC-2017-RN-00499-1

Class II

2017-04-26

Australia

DHTGA

https://apps.tga.gov.au/Prod/sara/arn-detail.aspx?k=RC-2017-RN-00499-1

Siemens healthcare diagnostics has identified an issue with rapidpoint 500 blood gas analysers with v2.4 software. there is a potential to misassign patient demographic information (last name, first name, gender, or date of birth) when the patient id field is left “blank” on multiple patient samples and a recall of the patient information is initiated. as stated in the rapidpoint 500 operators guide, the patient id field is a “required” field, and the patient id field is set as “required” when the rapidpoint 500 analyser is shipped from siemens. there is a risk to health based upon the potential misclassification of a patient as having falsely abnormal test results receiving additional diagnostic testing and treatment, as well as the risk of a patient who has abnormal results being incorrectly identified as having normal results based upon incorrect sample identification.

Siemens Healthcare is currently developing a software update to address this issue and will be providing new information as it becomes available. In the interim, Siemens is advising users to maintain the Patient ID field as enabled and a “required” Patient Demographic entry on their RAPIDPoint 500 analyser. If the Patient ID field on the RAPIDPoint 500 analyser is not set as “required,” reset it to “required” by following the instructions provided in the customer letter. If the laboratory has run samples from multiple patients with the Patient ID field blank, Siemens recommends a review of those previously generated results.