The Recall Desk
HighFDA (Devices)·Z-1306-2022·Announced 2022-07-06

NaviCare Nurse Call System Cancels Patient Calls During Wireless Use

The NaviCare Nurse Call system software (versions 3.9.100-3.9.300) has a wireless integration defect causing patient calls to be canceled when answered on wireless phones. The issue affects 283 installations in the US and Canada.

What this means for you

Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.

Our severity reasoning: FDA Class II medical device with a system malfunction that creates risk of patient harm in healthcare settings. No illnesses or injuries reported to date. Per the rubric, risk-of-harm products where injury has not yet been reported receive a score of 3 (High).

Plain-English summary

Baxter Healthcare Corporation has recalled the NaviCare Nurse Call/Voalte Nurse Call system software (versions 3.9.100 through 3.9.300). The software is used with wireless integrations from Phillips (Emergin), Longleaf, Connexall, Vocera, and Cerner systems.

The defect causes calls placed from push-button call devices—including call cords and room audio station buttons—to be canceled when a nurse answers on a wireless phone. This occurs regardless of call priority, preventing proper nurse-patient communication.

Approximately 283 installations of this software are in use nationwide and in Canada. Healthcare facilities using the affected software versions should contact Baxter Healthcare Corporation for information about software updates or remediation options.

The recalled product

Product
NaviCare Nurse Call/Voalte Nurse Call
Manufacturer
Baxter Healthcare Corporation
Hazard
  • call-disconnection
  • system-malfunction

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (6)

  • software versions: 3.9.100
  • 3.9.101
  • 3.9.102
  • 3.9.200
  • 3.9.201
  • and 3.9.300

Distribution

Distributed nationwide across the United States.