Medical Device Recall: Z-0033-06

FDA Recalls dataset · Firm: Baxter Healthcare Corp. Rt. · Status: Terminated

Recall Action Class: N/A Date Initiated: 2005-06-16 Recall record compiled from public FDA source records.

Recall Parameters & Description

Normalized public record details for FDA recall code Z-0033-06.

Recall Res Number
Z-0033-06
Recalling Firm / Manufacturer
FEI Number
1416980
Recall Status
Terminated
Recall Classification
N/A
Date Initiated
2005-06-16
Date Posted
2005-10-08
Date Terminated
2008-02-06
Product Code
NSX
Event Number
32449
Product Quantity
5 units
Product Description Baxter''s Patient Care System (BPCS) software, composed of Pharmacy Management - Inpatient - product code 2M5013, Point of Care - product code 2M5014 and Management Reports - product code 2M5015; Baxter Healthcare Corporation, 1 Baxter Parkway, Deerfield, IL 60015, USA, made in Canada

Reason for Recall If a pharmacy end user alters the Administration Unit of Measure (AUOM) of an ordered drug, the AUOM will display incorrectly on the Medication Administration Record for the patient, possibly leading to medication errors.

Action Details Urgent Device Correction recall letters dated 6/16/05 were sent to the direct accounts on the same date via first class mail. The letter describes the issue with the Administration Unit of Measure (AUOM), and informed the accounts that changing the AUOM of an ordered drug presents a patient safety issue resulting in a potential for a medication error. The accounts were requested to eliminate or minimize any further AUOM changes until a software upgrade is available. If an AUOM change is required the pharmacy end user must contact the Baxter Patient Care Helpdesk at 1-877-835-2727 prior to any changes being made. A Technical Bulletin was provided with the letter to guide the pharmacy end user through the process of an AUOM change with the aide of a Client Support Specialist.

Distribution Pattern Missouri, Massachusetts, Vermont, California and Canada.

Code Information / Serial Numbers Software version 4.1-77, 4.0-66 and 3.4-18.24

Related Establishments / Registrations

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