The list below contains Medical Device’s Field Corrective Action for the month of July 2022. 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 –

  • The return of the medical device to the establishment;
  • Modification of the medical device;
  • Exchange of the medical device;
  • Destruction of medical device; or
  • 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

1 July 2022

 FSCA Report on potential for unexpected motion caused due to partial disengagement of the instrument from the system while using the da Vinci S/Si and X/Xi EndoWrist Clip Applier instruments.

Da Vinci S/Si Large Clip Applier, Da Vinci X/Xi Large Clip Applier

MDA/FCA/2022-P108

GC74543334017, GC3810021-64842

Intuitive has become aware of the potential for unexpected motion caused due to partial

disengagement of the instrument from the system while using the da Vinci S/Si and X/Xi

EndoWrist Clip Applier instruments.

Ryan Yeo

Regulatory Affairs Manager - Asia

DTG MEDICAL SDN.BHD.

4 July 2022

 FSCA Notification on Automated Blood Coagulation Analyser CA-600 Series - burning smell out of CA-600 series mainly combined with error messages like “Z-axis Down Error”, “Z-axis Home Position Error” and/or “Voltage Low Limit”.

SYSMEX AUTOMATED BLOOD COAGULATION ANALYZER CA-600 SERIES

MDA/FCA/2022-P109

IVDC8240021-69698

Customer perceived a burning smell out of CA-600 series mainly combined with error messages like “Z-axis Down Error”, “Z-axis Home Position Error” and/or “Voltage Low Limit”.

Dinesh Vijian

Regulatory Affairs Specialist

Sysmex (Malaysia) Sdn Bhd

1 July 2022

 FCA Notification on mislabelling of the product registration number

Alpha Ortho- K AC Toric

MDA/FCA/2022-P110

GB3290919-35867

Mislabelling of the product registration

Ms Nicole Kang

Regulatory Affairs Officer

Mandarin Opto-Medic Sdn Bhd

11 July 2022

 FCA Notification regarding fluid leaks within the middle stainer module of the VENTANA HE 600 that likely resulted in electrical shorts at the plate heater connections that then escalated into fires.

06917259001 Ventana HE 600 system

MDA/FCA/2022-P111

IVDA2632457317

Roche has confirmed 2 complaints regarding fluid leaks within the middle stainer module of the VENTANA HE 600 that likely resulted in electrical shorts at the plate heater connections that then escalated into fires. No physical harm or injury was reported.

Tiffany Soon

Regulatory Affairs Executive

Roche Diagnostics (M) Sdn. Bhd.

7 July 2022

 FCA Notification on the uninstallation of 4566 111 Model 2868 software from Model 3120 ZOOM programmers.

Zoom Latitude Programming System

(Model 2868 Programmer Software Application)

MDA/FCA/2022-P112

GD9406621-82064

When designing the Tachy Model 3868 software maintenance release (SMR) version 15 upgrade for the Model 3300 LATITUDE Programmer, a decision was made to forego the design and development work needed to ensure the Model 3120 ZOOM Programmer Tachy software was compatible with SMR 15 PGs (Pulse Generators).

Nor Syawalia Mohd Nor

Associate RA Specialist

Boston Scientific (M) Sdn Bhd

7 July 2022

 FCA Notification on mounting position may not be appropriately covered when a different mounting position of the Signal Input Box is applied.

AXIOM Sensis XP, Sensis /

Sensis Lite or Sensis Vibe Combo

MDA/FCA/2022-P113

Sensis, Sensis Lite - GC58192270417

Sensis Vibe Combo - GC26491801918

The Sensis Signal Input Box provides hooks as a milled item on the bottom of the box. The provided hooks support the possibility of mounting the Signal Input Box on an accessory rail (e.g. at the patient table) or in some similar environment where rail mounting is possible. When the mounting position deviates from the default position there is a need to observe additional restrictions.

NUR AYUNI BINTI ABAS

QUALITY TECHNOLOGY EXECUTIVE

SIEMENS HEALTHCARE SDN BHD

13 July 2022

 FCA Notification regarding analyser’s inability to properly pierce the foil on the cassettes, which may lead to a punch error code, GRIP06 error code [“Card / Cassette could not be punched correctly”].

ORTHO Vision Max™ Analyzer and ORTHO VisionTM Analyzer

MDA/FCA/2022-P114

IVDD33166265118

Ortho Clinical Diagnostics has received complaints from users regarding their analyser’s inability to properly pierce the foil on the cassettes, which may lead to a punch error code, GRIP06 error code [“Card / Cassette could not be punched correctly”].

MELISA LEEAU

Director

T T Medical Management Sdn Bhd

13 July 2022

 FCA Notification regarding liquid level may be erroneously detected with the measurement error during the probe descending to aspirate the reagent if a cleaning liquid adheres to the reagent probe tip

Sysmex Automated Coagulation Analyzer CN Series

MDA/FCA/2022-P115

IVDC6362721-66356

Sysmex found that the liquid level may be erroneously detected with the measurement error during the probe descending to aspirate the reagent if a cleaning liquid adheres to the reagent probe tip. Re-testing is required for measuring samples with the measurement error

Dinesh Vijian

Regulatory Affairs Specialist

Sysmex (Malaysia) Sdn Bhd

14 July 2022

 FCA Notification on an issue with the pH AQC Level 2 results recovering out of range low with the AQC cartridge lots

Automatic QC Cartridge Kit

MDA/FCA/2022-P116

IVDC6984796818

Siemens Healthcare Diagnostics Inc. has confirmed an issue with the pH AQC Level 2 results recovering out of range low with the AQC cartridge lots listed above in Table 1. The pH AQC Level 2 published range is 7.350 +/-0.02.

NG WEIL SHERN

QUALITY TECHNOLOGY EXECUTIVE

SIEMENS HEALTHCARE SDN BHD

14 July 2022

 FCA Notification regarding an issue where information from two different patients can be mixed up in Centricity High Acuity Anesthesia (CHA-A) and Centricity High Acuity Critical Care (CHA-CC) applications when the same value is entered in the Social Security Number (SSN) field for these patients

Centricity High Acuity Anesthesia (CHA-A) and Centricity High Acuity

Critical Care (CHA-CC)

MDA/FCA/2022-P117

GMD29146275517A, GA2352020-44975

GE Healthcare has become aware of an issue where information from two different patients can be mixed up in Centricity High Acuity

Anesthesia (CHA-A) and Centricity High Acuity Critical Care (CHA-CC) applications when the same value is entered in the Social Security Number (SSN) field for these patients.

Sharon Lee

Regulatory Affairs Assistant

GE Healthcare Sdn Bhd

15 July 2022

 (MY-FSN-RDS-CoreLab-2022-004) related to PreWash failure after Preparation in Quick Start mode on cobas® e 801.

cobas e 801 analytical unit (08454345001)

cobas e 801 module (07682913001)

cobas pro sample supply unit (08464502001)

cobas Pro SSU (09205632001)

cobas 8000 core unit (05641446001)

MDA/FCA/2022-P118

IVDA10967919-27203

IVDA2140019-30094

IVDA4229621-76338

Roche was recently informed by the manufacturer Hitachi High-Tech Corporation (HHT) about an internally detected operational software issue affecting cobas pro/cobas 8000 e 801 analytical units.

Tiffany Soon

Regulatory Affairs Executive

Roche Diagnostics (M) Sdn. Bhd.

18 July 2022

 FCA Notification on Paint Chipping issues on the Volista Operating Theatre Light

Volista Operating Theatre Light

MDA/FCA/2022-P119

GA6871371816

Maquet SAS/Getinge is initiating a voluntary Medical Device Correction for the VOLISTA

StandOp Surgical Lights due to the potential for paint chipping to occur on the component

(reference ARD568801164) located on the fork of the Volista StandOp Cupolas.

Huda Tajuddin

Retgulatory Executive

IDS Medical Systems (M) Sdn Bhd

15 July 2022

 Field Corrective Action notification regarding results around or over the upper limit for EliA ANA Positive Control 250.

EliA ANA Positive Control 250

MDA/FCA/2022-P120

IVDB43283287718

An issue with the product EliA ANA Positive Control 250 for the dsDNA parameter has

been discovered. Complaints have been reported where customers have received results around or over the upper limit for EliA ANA Positive Control 250. During internal review high results for the EliA dsDNA parameter from Bulk lot 0078 (filling C9REF, C9REG,

C9REH, C9REJ) was confirmed.

Najah Suadah Zakaria   Regulatory & QA Executive

Biomarketing (M) Sdn Bhd

15 July 2022

 FCA Notification on a hardware issue related to the status indicator board which can become loose and may result in a loose contact to the mainboard and potentially oxidation of this contact due to ingress of water (e.g., disinfectants).

HAMILTON C6 Ventilator

MDA/FCA/2022-P121

GC25545945118

Analysis of customer complaints revealed a hardware issue related to the status indicator board which can become loose and may result in a loose contact to the mainboard and potentially oxidation of this contact due to ingress of water (e.g., disinfectants).

DIANA RAZAK

HEAD OF QUALITY ASSURANCE

STAR MEDIK SDN BHD

22 July 2022

 FCA Notification on distance and Area measurements can display inaccurate measurement values that are overestimated (measurement size is larger than true size) when a study is launched in Global Stack viewport on Centricity Universal Viewer and Universal Viewer.

Centricity Universal Viewer, Universal Viewer

MDA/FCA/2022-P122

GB88139558518, GB7553622-96944

Distance and Area measurements can display inaccurate measurement values that are overestimated (measurement size is larger than true size) when a study is launched in Global Stack viewport on Centricity Universal Viewer and Universal Viewer.

Sharon Lee

Regulatory Affairs Assistant

GE Healthcare Sdn Bhd

25 July 2022

FCA Notification on ATCC 19606 (Acinetobacter baumannii ATCC® 19606), ATCC 13253 (Elizabethkingia menigoseptica ATCC® 13253) and blank (NF reagent) gave a positive reaction where it should have given a negative reaction within the NO3 well of the panel.

Remel RapID™ NF Plus System

MDA/FCA/2022-P123

IVDB22180261018

A technical investigation has determined ATCC 19606 (Acinetobacter baumannii ATCC® 19606), ATCC 13253 (Elizabethkingia menigoseptica ATCC® 13253) and blank (NF reagent) gave a positive reaction where it should have given a negative reaction within the NO3 well of the panel.

Gan May Ping

Quality Manager

Thermo Scientific Microbiology Sdn. Bhd.

27 July 2022

 FCA Notification on an increased occurrence rate of false positive results obtained with the affected LOTs of the therascreen FGFR RGQ PCR Kit.

therascreen® FGFR RGQ RT-PCR KIT

MDA/FCA/2022-P124

IVDC6457619-36847

QIAGEN has identified an increased occurrence rate of false positive results obtained with the affected LOTs of the therascreen FGFR RGQ PCR Kit. For a significant percentage of samples with the Overall sample result “FGFR Alteration Detected”, the correct result might be incorrect. Only one individual target, the Amino acid variant p. S249C is not affected.

DEBRA ANNE ANTHONY PETER

SENIOR REGULATORY AFFAIRS MANAGER

QIAGEN BIOTECHNOLOGY MALAYSIA SDN BHD

27 July 2022

 FCA Notification related to the bedside panels not being latched as instructed.

Giraffe Bedded Warmers, Panda iRes Warmers

MDA/FCA/2022-P125

GC18224779718, GC29127486217, GC5981522-82752

The Field Safety Notification FMI 32067 (reported date to MDA: 26 Mar 2019) and customer communication, plus enhanced panel design were launched in March 2019 and July 2020, respectively. However, GE Healthcare (GEHC) recently received one complaint of a patient fall related to the bedside panels not being latched as instructed.

Sharon Lee

Regulatory Affairs Assistant

GE Healthcare Sdn Bhd

28 July 2022

 FCA Notification for contamination of extraction reagents with Legionella spp nucleic acids using easyMAG® and EMAG® extraction systems

NUCLISENS® Magnetic Silica

MDA/FCA/2022-P126

IVDB93265302618

Since May 2022, bioMérieux received customer’s complaints for contamination of extraction reagents with Legionella spp nucleic acids using easyMAG® and EMAG® extraction systems.

Mimi Asmida Ridhwan

QA / RA Specialist

Biomerieux Malaysia Sdn Bhd