The Recall Desk
HighFDA (Devices)·Z-2742-2015·Announced 2015-09-16

Terumo CDI 500 Blood Parameter Monitoring System Recalled for Inaccurate Readings

Terumo is recalling 4,638 CDI 500 Blood Parameter Monitoring Systems worldwide due to inaccurate readings of vital blood parameters following a software upgrade to version 1.69.

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: The recall involves a high-risk medical device where inaccurate readings of vital parameters pose a risk of harm to patients, but the source text does not report any specific injuries or illnesses, fitting the 'High' severity criteria for risk-of-harm products without reported injury.

Plain-English summary

Terumo Cardiovascular Systems Corporation is recalling 4,638 units of the CDI 500 Blood Parameter Monitoring System. This medical device provides continuous, on-line monitoring of extracorporeal partial pressure of oxygen and carbon dioxide, pH, potassium, oxygen saturation, hematocrit, hemoglobin, and temperature.

The recall is due to inaccuracies in SvO2, temperature, pH, pCO2, pO2, Hematocrit, and Potassium readings that occurred following a software upgrade to version 1.69. The affected units are identified by model codes 500A, 500AHCT, 500AV, and 500AVHCT.

The affected devices were distributed worldwide, including nationwide in the United States (including DC, PR, and all states) and in numerous international countries such as Australia, Canada, Japan, and the United Kingdom. Healthcare facilities and users of these monitoring systems should verify their software version and contact the manufacturer for instructions on corrective action.

The recalled product

Product
CDI 500 Blood Parameter Monitoring System. Provides continuous, on-line monitoring of the extracorporeal partial pressure of oxygen and and carbon dioxide, pH, potassium, oxygen saturation, hematocrit, hemoglobin and temperature.
Affected units
4,638

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 (5)

  • 500A
  • 500AHCT
  • 500AV
  • 500AVHCT CDI Blood Parameter Monitoring System 500
  • software version 1.69.

Distribution

Distributed nationwide across the United States.

The notice also names 47 states specifically: