The list below contains Medical Device’s Field Corrective Action for the month of August 2023. This list provides field corrective action reporting information to MDA by establishment in accordance to requirement stipulated in Section 41, Act 737 and Regulation 6 of Medical Device (Duties and Obligations of Establishment) Regulations 2019.

Field Corrective Action (FCA) is part of a post-marketing risk assessment measure to ensure the continued safe use of medical devices in the Malaysia market. It is a corrective or preventive action in relation to a medical device which may include –

(a)     The return of the medical device to the establishment;

(b)    Modification of the medical device;

(c)     Exchange of the medical device;

(d)    Destruction of medical device; or

(e)    Specific advice on the use of the medical device. 

If you have experienced any safety and performance issue with one of the medical devices listed for FCA action, please seek advice from your medical device authorised representative as soon as possible.

 

Date received

Title of FCA

Affected

Medical Device

MDA Reference Number

MDA Registration Number

Description

Local Establishment

Contact Detail

17 Aug 2023

NGQ Device Bluetooth Malfunction Field Safety Corrective Action (FA-Q122-CRM-2)

Abbott NGQ Implantable Pulse Generators (IPG) And Patient Mobile Application (Gallant, Entrant, And Mymerlinpulse)

MDA/FCA/P0477-82744691-2023

GD9675621-53441

Abbott is informing customers of a rare potential for a Bluetooth (BLE) circuit component issue on a subset of Gallant™ and Entrant™ Implantable Cardioverter Defibrillators (ICDs) and Cardiac Resynchronization Therapy Defibrillators (CRT-Ds) manufactured prior to April 2022.

LAW CHING YEE

REGULATORY AFFAIRS MANAGER

ABBOTT MEDICAL (MALAYSIA) SDN. BHD.

25 Aug 2023

Apical Coring Knife Unable to Cut Field Safety Corrective Action (FA-Q323-HF-3)

HEARTMATE 3 LEFT VENTRICULAR ASSIST SYSTEM

MDA/FCA/P0491-93120126-2023

GD4151721-74880

Abbott is notifying customers of a finding with the HeartMate Apical Coring Knife provided with the HeartMate 3 Left Ventricular Assist System (LVAS) kits (Model 106524INT) and the Apical Coring Knife (Model 1050) separately distributed for use during HeartMate 3 or HeartMate II LVAS (Model 106015 and 106016) implant procedures.

LAW CHING YEE

REGULATORY AFFAIRS MANAGER

ABBOTT MEDICAL (MALAYSIA) SDN. BHD.

25 Aug 2023

FA29SEP2021 ARCHITECT System software v9.45_9.50

Architect i1000sr Processing Module

MDA/FCA/PX0500-94940230-2023

IVDA3676020-43793

ARCHITECT Software versions 9.45 (LNs 05F48‐44 and 05F48‐45) and 9.50 (LNs 05F48‐46 and 05F48‐47) were developed to

address several identified issues and enhance the overall system for the ARCHITECT C‐Systems (CC) and ARCHITECT i‐Systems

(IA).

LAW CHING YEE

REGULATORY AFFAIRS MANAGER

ABBOTT MEDICAL (MALAYSIA) SDN. BHD.

4 Aug 2023

Voluntary Medical Device Correction for specific catalog numbers of Alcon phaco tips and related procedure packs due to the potential for the end user to damage the included plastic wrench by over-tightening the phaco tip to the handpiece, causing particles to be shaved from the wrench.

CONSTELLATION VISION SYSTEM

MDA/FCA/P0435-44724282-2023

GC96073327017

Alcon has become aware of the potential for the plastic wrench included with phaco tips to be damaged if over-tightened.

LEW FOO YEW

DIRECTOR

ALCON LABORATORIES (M) SDN. BHD.

18 Aug 2023

CENTURION VISION SYSTEM

MDA/FCA/P0444-60741868-2023

GC33225370917

7 Aug 2023

CENTURION SILVER SYSTEM

MDA/FCA/P0445-92789087-2023

GC64723659618

18 Aug 2023

LAUREATE WORLD PHACO SYSTEM

MDA/FCA/P0447-46986377-2023

GC86958174517

18 Aug 2023

INFINITI VISION SYSTEM

MDA/FCA/P0448-12989409-2023

GC31512297417

7 Aug 2023

LEGION SYSTEM

MDA/FCA/P0449-89178457-2023

GC9676720-46802

7 Aug 2023

CUSTOM PAK: MAL-PCMC INTREPID PACK (PRINCE COURT MEDICAL CTR)

MDA/FCA/P0450-27674265-2023

GB973251049518

7 Aug 2023

CUSTOM PAK: MAL-HOSPITAL PANTAI BATU PAHAT PHACO PACK

MDA/FCA/P0451-79118574-2023

GB3395423-128359

28 Aug 2023

FSCA-2023-08-14 (1) / Infusomat® Space - Upstream Occlusion Sensor

INFUSION PUMP

MDA/FCA/P0486-19645440-2023

GC92724141717

B Braun identified a sporadic occurrence of potentially false down- and upstream pressure alarms which are caused by the upstream occlusion pressure sensor of the Infusomat® Space Infusion Pump.

QUEK LANG FAH

HEAD OF REGULATORY AFFAIRS

B. BRAUN MEDICAL INDUSTRIES SDN. BHD.

22 Aug 2023

FA-000948, K (Potassium) ELECTRODE for AU/DxC AU Beckman Coulter analyzers (AU480, AU680, AU5800 and DxC 700 AU)

ISE REAGENTS AND STANDARDS

MDA/FCA/P0482-74114323-2023

IVDB56688175918

Beckman Coulter has identified that the defective K electrode (Lot 22303 and serial numbers listed in the table above) may not perform as intended through the expiration date.

NUR AISHAH BINTI ABD AZIZ

RA SPECIALIST

BECKMAN COULTER MALAYSIA SDN. BHD.

22 Aug 2023

FA-23026, UniCel DxI 800 Access Immunoassay System UniCel DxI 800 Access Immunoassay System with Spot B UniCel DxI 600 Access Immunoassay System UniCel DxI 600 Access Immunoassay System with Spot B Access 2 Immunoassay Analyzer

ACCESS IL-6

MDA/FCA/P0482-82078148-2023

IVDB2507021-52609

BEC Chaska Incoming Inspection identified that the part numbers C33377 and 02-006988A failed the XRF (X-Ray Fluoroscopy) tests for high cadmium levels. Per RoHS3 EU Directive 2015/863, the cadmium values should be less than 100 PPM (parts per million). The failed parts had an average cadmium reading of 236 PPM for P/N C33377 and average reading of 111 PPM for P/N 02-006988A using XRF. Post inspection, a sorting was conducted between Jun 15, 2023 and Jun 20, 2023 in Building 316 on all available inventory on hand and all parts are discovered to be non-compliant to the RoHS3 Directive.

NUR AISHAH BINTI ABD AZIZ

RA SPECIALIST

BECKMAN COULTER MALAYSIA SDN. BHD.

9 Aug 2023

FCA REPORT ON INCREASED LEVEL OF ARTEFACTS/ HIGH BACKGROUND STAINING ON CERTAIN GV800 ENVISION FLEX, HIGH PH (DAKO OMNIS) KITS THAT WAS EVALUATED TO HAVE LOW RISK OF INCORRECT RESULT DIAGNOSIS.

DAKO HISTOLOGY/ CYTOLOGY HISTOLOGY/ CYTOLOGY REAGENTS CLUSTER 2

MDA/FCA/P0454-92274525-2023

IVDB83493297718

Based on investigation and attention, the GV800 Kits is facing certain cases where an increase in debris formation on the stainer gap lids in the Dako Omnis is observed which can lead to an increased level of artefacts and background staining on the stained slides.

HOW KIAN MING

MANAGING DIRECTOR

BITA LIFESCIENCE SDN. BHD.

15 Aug 2023

FSCA-SHS-2023-001, OPMI LUMERA 300, inspect (repair if needed) the suspension arm

OPMI LUMERA 300

MDA/FCA/P0466-98412586-2023

GA1921556216

There is a probability of specific screw missing during assembly of the device. This screw is used to prevent one internal thread cap rotating which ensure the connection between suspension arm and the suspended components.

YAP CHUN CHONG

GENERAL MANAGER

CARL ZEISS SDN BHD

28 Aug 2023

Revision on stability claim in the STORAGE AND STABILITY in Insert - Liquichek Pediatric Control

LIQUICHEK PEDIATRIC CONTROL

MDA/FCA/P0445-69893092-2023

IVDC8942823-127545

Bio-Rad have observed that Bilirubin (Total, Direct, Indirect and Neonatal) and Phenylalanine may not meet the Thawed Unopened stability; or the Thawed Open Stability clams for Bilirubin (Total, Direct, Indirect and Neonatal) as printed in the package inserts.

ADELINE NG POOI KUAN

GROUP CORPORATE COMPLIANCE SENIOR MANAGER

CHEMOPHARM SDN BHD

3 Aug 2023

Possible desaturation due to late replacement of Filter/HME

FABIUS FAMILY

MDA/FCA/P0442-88055199-2023

GC52775717518

Feedback from the market has shown that condensate can form more frequently in our TwinStar Plus filter/HME, which can lead to increased resistance under certain circumstances.

BEATRICE MAH WAN XIN

QUALITY AND REGULATORY AFFAIR SPECIALIST

DRAEGER MALAYSIA SDN BHD

3 Aug 2023

The TN300 Babyroo mattress tray MU26404_08 may tilt without engaging the tilt mechanism when the mattress assembly is pushed down.

DRAEGER BABYROO TN300

MDA/FCA/P0443-69935471-2023

GC10992123-134656

Drager has become aware that the TN300 Babyroo Radiant Warmer mattress tray may tilt without engaging the tilt mechanism when the mattress assembly is pushed down. The tilt

mechanism may not lock/release correctly due to either loose or missing screws.

BEATRICE MAH WAN XIN

QUALITY AND REGULATORY AFFAIR SPECIALIST

DRAEGER MALAYSIA SDN BHD

18 Aug 2023

AmiCORE Apheresis Kits with possibly incorrect assembly between the saline line and the return line (ECMD202319)

AmiCORE Apheresis System

MDA/FCA/P0478-10472352-2023

GC2949119-28560

it was discovered that two AmiCORE Apheresis Kits were assembled incorrectly. The saline and return lines were swapped at the connection to the AmiCORE Cassette.

FOO AI LIN

HEAD, SCIENTIFIC AND REGULATORY AFFAIRS

FRESENIUS KABI MALAYSIA SDN BHD

17 Aug 2023

Certain Vivid S60 / Vivid S70 / Vivid S60N / Vivid S70N ultrasound systems may not boot up in a timely fashion. If this occurs, it can delay availability of the device in time-critical emergency situations.

VIVID S SERIES (S60N, S70N)

MDA/FCA/P0393-17367616-2023

GB48228729218

GE HealthCare has become aware that certain Vivid ultrasound systems may not boot up in a timely fashion.   If this occurs, it can delay availability of the device in time-critical emergency situations.

LIM SOCK SIANG

DIRECTOR

GE HEALTHCARE SDN. BHD

28 Aug 2023

 

Centricity™ Enterprise Archive V2.X, V3.X, V4.X and Enterprise Archive Version 8

GE HealthCare has become aware of an issue where images from two different patients may be contained in a single study, when stored in Centricity Enterprise Archive (EA) and/or Enterprise Archive (EA).

 

CENTRICITY ENTERPRISE ARCHIVE

MDA/FCA/P0501-63360510-2023

GMD96569988219A

GE HealthCare has become aware of an issue where images from two different patients may be contained in a single study, when stored in Centricity Enterprise Archive (EA) and/or Enterprise Archive (EA). This issue could contribute to an adverse patient outcome.  

LIM SOCK SIANG

DIRECTOR

GE HEALTHCARE SDN. BHD

26 Aug 2023

[CVG-21-Q3-21 Rev Q] HVAD Pump Failure to Restart:   Additional Subgroup 3 and Updated Failure Rate

HEARTWARE VENTRICULAR ASSIST SYSTEM (HVAD)

MDA/FCA/P0499-62484340-2023

GD74345985518

Complaints received on pumps failing to initially start, restart or experiencing a delay in restart within the maximum number of restart attempts per the software configuration (30 restart attempts), regardless of whether the pump ultimately restarted. These failures to start or restart have occurred during pre-implant testing, during the implant, or in a variety of post-implant situations. Failures include both single and dual-stator pump restart failures.

CHOW SOON YEE

REGULATORY AFFAIRS LEAD

MEDTRONIC MALAYSIA SDN BHD

30 Aug 2023

Ultrasound gel and ecg gel was reported contamination of bacteria Burkholderia Cepacia.

TRANSMISSION GEL

MDA/FCA/P0119-22257574-2022

GA13780404317

MyMedic had used RO Water System that will reduces particles like dirt, dust and rust, volatile organic compounds (VOCs), chlorine, other contaminants that give water a bad taste or odor and it removes up to 98% of total dissolved solids. Even so, upon arisal of the contamination issue

MOHAMAD FARKHAN BIN DAMRI

ASST MANAGER

MYMEDIC INNOVATION SDN BHD

28 Aug 2023

Distribute the FSN to notify information on the maximum insertion tube outer diameter for TRACHEAL INTUBATION FIBERSCOPE, TRACHEAL INTUBATION VIDEOSCOPE.

VISERA VIDEOSCOPES SYSTEM

MDA/FCA/P0462-37315314-2023

GB757621017518

This Field Safety Notice is initiated based on the complaint investigation reported outside Malaysia (Foreign Country) which associated with an injury, that upon trying to use an Olympus pulmonary endoscope model with an endotracheal tube, the tip became lodged inside the endotracheal tube connector.

YEOH SEO CHING, SHELLY

MANAGER, QUALITY ASSURANCE & REGULATORY AFFAIRS

OLYMPUS (MALAYSIA) SDN. BHD.

EVIS LUCERA ELITE BRONCHOVIDEOSCOPE SYSTEM

MDA/FCA/P0468-48608010-2023

GB66358142517

EVIS EXERA II BRONCHOVIDEOSCOPE

MDA/FCA/P0469-56641384-2023

GB97717930218

EVIS EXERA III BRONCHOVIDEOSCOPE SYSTEM

MDA/FCA/P0470-36592475-2023

GB58878308917

OPTERA VIDEO SYSTEM

MDA/FCA/P0472-19146910-2023

GB15542818418

EUS ULTRASONIC VIDEOSCOPE SYSTEM

MDA/FCA/P0475-98174303-2023

GB79514818718

EVIS EUS ULTRASOUND BRONCHOFIBERVIDEOSCOPE

MDA/FCA/P0476-98443677-2023

GB2370620-43094

RESECTOSCOPE SYSTEM

MDA/FCA/P0502-42998716-2023

GC75601857218

30 Aug 2023

Communication memo on wrong GTIN UDI code OSTE products with unreadable DataMatrix and Packaging Barcode.

CYSTOSCOPE SYSTEM

MDA/FCA/P0504-24421187-2023

GC624861210918

This field safety notice is initiated to notify customers that certain products of Olympus bear an incorrectly printed GTIN (13-digit GTIN-14 instead of the standard 14 digits.).

YEOH SEO CHING, SHELLY

MANAGER, QUALITY ASSURANCE & REGULATORY AFFAIRS

OLYMPUS (MALAYSIA) SDN. BHD.

9 Aug 2023

FSN 2023-IGT-BST-013 Allura Centron systems Potential of the wired and wireless foot switch to become stuck in the active position resulting in unintended radiation.

ALLURA CENTRON

MDA/FCA/P0453-71370964-2023

GC67062225117

The wired and wireless foot switch are used to control fluoroscopy, exposure and other functions, such as single shot, light control and toggle between X-ray planes (for bi-plane systems).

ZAM ZARINA BINTI MAT AIL

Q&R MANAGER

PHILIPS MALAYSIA SDN BERHAD

ALLURA XPER FD SERIES

MDA/FCA/P0456-73809169-2023

GC59365128817

AZURION 3

MDA/FCA/P0457-45965313-2023

GC99381544218

AZURION 5

MDA/FCA/P0458-51798714-2023

GC10785320-48186

AZURION 7

MDA/FCA/P0459-96354025-2023

GC82521235717

AZURION BIPLANE

MDA/FCA/P0460-98786232-2023

GC59959884718

23 Aug 2023

 

2023-CC-EC-005 Tempus Pro Monitor

Unexpected Device Error When Used with Tempus Pro Video Laryngoscope

 

TEMPUS PRO

MDA/FCA/P0485-49788517-2023

GC7494619-30213

An issue has been identified with the Tempus Pro Monitor where an error may occur during video laryngoscope use with the Tempus Pro Video Laryngoscope or immediately after the Tempus Pro Video Laryngoscope has been unplugged from the Tempus Pro Monitor.

ZAM ZARINA BINTI MAT AIL

Q&R MANAGER

PHILIPS MALAYSIA SDN BERHAD

24 Aug 2023

FSN 2023-IGT-BST-004 Allura Xper. Potential loss of imaging functionality resulting from no or intermittent X-ray radiation initiation through the wired foot switch

ALLURA XPER FD SERIES

MDA/FCA/P0487-35152266-2023

GC59365128817

The wired foot switch is used to control fluoroscopy, exposure, and other functions, such as single shot, light control, and toggle between X-ray planes (for bi-plane systems).

Philips has identified instances where no or only intermittent X-ray radiation initiation is possible through

use of the wired foot switch, as a result of:

• A damaged foot switch cable or cable connector caused by large external force on the cable.

ZAM ZARINA BINTI MAT AIL

Q&R MANAGER

PHILIPS MALAYSIA SDN BERHAD

ALLURA CENTRON

MDA/FCA/P0489-97595069-2023

GC67062225117

AZURION 3

MDA/FCA/P0490-88588253-2023

GC99381544218

AZURION 5

MDA/FCA/P0492-36845833-2023

GC10785320-48186

AZURION 7

MDA/FCA/P0493-40795912-2023

GC82521235717

AZURION BIPLANE

MDA/FCA/P0494-50290978-2023

GC59959884718

30 Aug 2023

048 FSCA CHC 23-02 ADVIA Chemistry IRON_2 - IRON_2 Positive Bias with some Reagent Wedges on ADVIA Chemistry systems

IRON_2 (IRON_2)

MDA/FCA/P0460-14180898-2023

IVDB4921625717

Siemens received complaints from one customer indicating some wedges of IRON_2 Lot 601757 and 612584 exhibited a positive bias with Quality Control (QC) and patient samples processed on ADVIA Chemistry XPT systems.

LAM YEN LI

HEAD OF QUALITY & TECHNOLOGY

SIEMENS HEALTHCARE SDN. BHD.

10 Aug 2023

Field Safety Corrective Action - Redwood Diagnostic Ultrasound Device

ACUSON REDWOOD DIAGNOSTIC ULTRASOUND SYSTEM

MDA/FCA/P0463-86529042-2023

GB9532820-39373

If user-generated presets on 18L6 transducers are carried-over from an ACUSON Redwood 1.0 system to an ACUSON Redwood 2.0 system, the ACUSON Redwood 2.0 system will display underestimated measurement results when using an 18L6 transducer and viewing in the Dual format (side by side) visualization function.

LAM YEN LI

HEAD OF QUALITY & TECHNOLOGY

SIEMENS HEALTHCARE SDN. BHD.

15 Aug 2023

049 CN Kova POC 23-017 Chek-Stix Liquid QC + Sediment Incorrect Value Assignment for RBC and WBC

ATELLICA UAS 800 ANALYZER

MDA/FCA/P0472-93793337-2023

IVDB43102172618

Siemens Healthineers received a Field Action Notice from Kova International regarding incorrect value assignment for RBC and WBC on Quality Control (QC) level 2 for Chek-Stix Liquid QC + Sediment.

LAM YEN LI

HEAD OF QUALITY & TECHNOLOGY

SIEMENS HEALTHCARE SDN. BHD.

24 Aug 2023

MR072/23/S Potential image artifacts caused by over-ear headphones - MAGNETOM Aera

MAGNETOM AERA

MDA/FCA/P0495-82465816-2023

GB29763244417

In some cases, when lubricating grease is present within the headband of the over-ear headphones, it may cause visible, dot- or line-shaped, fat-isointense artifacts during head examinations only. These potential artifacts depend on the position of the headband, the amount of lubricating grease, as well as the sequence parameters used. This issue does not impact scans of other body regions.

LAM YEN LI

HEAD OF QUALITY & TECHNOLOGY

SIEMENS HEALTHCARE SDN. BHD.

3 Aug 2023

HAMILTON-C1/T1/MR1, leaking capacitor (Control Board)

MEDICAL VENTILATOR

MDA/FCA/P0441-98302024-2023

GC25545945118

A degrading capacitor on the control board might leak electrolyte onto the control board, causing a short circuit on the board and/or the capacitor might lose its function. The primary function of this capacitor is to provide energy to store “Realtime Clock” information in case of total loss of power (external AC supply and

battery) for example during storage.

NUR DIANA ABD RAZAK

HEAD OF QUALITY ASSURANCE

STAR MEDIK SDN BHD

17 Aug 2023

Serfas Probe Connection Issues with SERFAS Energy Generator Console

STRYKER CROSSFIRE INTEGRATED ARTHROSCOPY SYSTEM

MDA/FCA/P0016-12093644-2022

GC10496622-102855

Supply constraints required Stryker to move to a new EEPROM in 2022. This change interrupted communication capabilities between all SERFAS Probes manufactured on and after April 12th, 2022, and our SERFAS Energy Generator Console. The SERFAS Energy Generator Console is obsolete (circa 2012), non-serviceable and has a recommended service life of 2 years.

YAP SOOK FONG

ASSOCIATE HR MANAGER

STRYKER CORPORATION (MALAYSIA) SDN. BHD.

15 Aug 2023

URGENT PRODUCT CORRECTION NOTIFICATION Out of Specification Proboscis/Piston Assembly for VITROS 5,1 FS/XT 3400/4600 Chemistry Systems, VITROS 3600 Immunodiagnostic Systems, VITROS 5600/XT 7600 Integrated Systems May Not Perform as Intended

VITROS IMMUNODIAGNOSTIC PRODUCTS FERTILITY & PREGNANCY HORMONES & PROTEINS

MDA/FCA/P0471-80842451-2023

IVDB7258323-129195

Ortho Clinical Diagnostics (QuidelOrtho™) received 12 complaints related to this issue as of 31-Jul-2023, we have received no complaints of biased results related to this issue nor have we experienced biased results during our investigation.

MENG TSE LEEAU

MANAGING DIRECTOR

T T MEDICAL MANAGEMENT SDN BHD

21 Aug 2023

IMPORTANT PRODUCT CORRECTION NOTIFICATION VITROS Chemistry Products ALKP and XT TBIL-ALKP Slides with Highly Elevated ALKP Activity Potentially Not Generating the Substrate Depletion Limit Code

ORTHO-CLINICAL DIAGNOSTICS, INC. IMMUNOCHEMISTRY ENZYMES

MDA/FCA/P0479-73186795-2023

IVDB96250352418

This notification is to inform you that Ortho Clinical Diagnostics (QuidelOrtho) has confirmed an issue involving VITROS Chemistry Products ALKP Slides and VITROS XT Chemistry Products TBIL-ALKP Slides. Samples with highly elevated ALKP activity may return a false-low result and not generate the Substrate Depletion Limit code (DP code).

MENG TSE LEEAU

MANAGING DIRECTOR

T T MEDICAL MANAGEMENT SDN BHD

29 Aug 2023

 

URGENT PRODUCT CORRECTION NOTIFICATION

Revised Storage Instructions for VITROS® Immunodiagnostic Products HBeAg Calibrators

 

VITROS IMMUNODIAGNOSTIC PRODUCTS HBEAG

MDA/FCA/P0487-91478488-2023

IVDD1508694518

QuidelOrtho (formerly Ortho Clinical Diagnostics) has become aware that due to a change in a raw material, VITROS® Immunodiagnostic Products HBeAg Calibrator, Lots 4880 and above, do not meet the current opened - reconstituted stability specification.

MENG TSE LEEAU

MANAGING DIRECTOR

T T MEDICAL MANAGEMENT SDN BHD

22 Aug 2023

23TMMYFSCA01_Accuray Radixact Calisto Gantry Cover Bracket Inspection and Replacement_23TMFSCA04

RADIXACT TREATMENT DELIVERY SYSTEM

MDA/FCA/P0481-10081602-2023

GC610521011418

It has been discovered that when utilizing the Jib Crane Assembly while servicing Radixact systems with a Calisto style gantry, that in some instances there is not enough clearance for the Jib Crane to function as intended.

NG KEE YEAN

TRANSMEDIC HEALTHCARE SDN BHD