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

Initial FCA Report on KALTOSTAT CALCIUM ALGINATE DRESSING - IFUs Failed to be updated with additional information

KALTOSTAT CALCIUM ALGINATE DRESSING

MDA/FCA/2022-P082

GC64531714818

During these updates the Central Eastern Europe region IFUs failed to be updated with the additional information and the supplemental neonatal IFU was removed from use

Norazwa Binti Azmi

RA & QA Specialist

ConvaTec Malaysia Sdn Bhd

3 June 2022

FCA Notification on MiniMed 640G Insulin Pump - damage to pump battery cap contacts that result in loss of power to the pump.

MiniMed 640G Insulin Pump

MiniMed 780G Pump

MDA/FCA/2022-P083

GC23882493217

GC4190021-62126

This FCA was initiated due to damage to pump battery cap contacts that result in loss of power to the pump.

The battery cap on MiniMed 600 and 700 series insulin pump consists of a plastic cap and metal contact. Specifically, the metal contact is held by three heat stakes (melt formed) located on the battery cap. The metal contact serves to complete the circuit with the AA battery that provides power to the pump

Athirah Abu Bakar

Regulatory Affairs Specialist

Medtronic Malaysia Sdn Bhd

5 June 2022

FCA Notification on Alinity ci-series System Control Module (SCM) - potential performance issue found in the Alinity ci-series software versions 3.3.3 and lower

Alinity ci-series System Control Module (SCM)

MDA/FCA/2022-P084

IVDA3247720-46201

Abbott has identified a potential performance issue found in the Alinity ci-series software versions 3.3.3 and lower. Abbott is releasing Alinity ci-series software version 3.4.0 to correct this issue.

Farah Syuhaidah binti Ahmad Jahiddin

Abbott Laboratories (M) Sdn. Bhd.

7 June 2022

FCA notification on V680 Ventilator - a false “Vent Inoperative 1008: Machine and Proximal Pressure Sensors Failed” alarm

V680: Portable Electric Ventilator

MDA/FCA/2022-P086

GC47771332217

The V680 Ventilator has been identified as potentially having the following issue:

During dual-limb invasive ventilation, a patient cough of sufficient magnitude to drive circuit pressures above 95 cmH2O for longer than 150 milliseconds may cause a “Vent Inoperative 1008: Machine and Proximal Pressure Sensors Failed” alarm, which will cause the V680 ventilator to cease therapy and the ventilator will not function, however, it will remain powered on.

Zam Zarina Mat Ail

Quality & Regulatory Manager

Philips Malaysia Sdn. Bhd.

Tel +6019 322 0792

Email zam.zarina@philips.com

7 June 2022

FCA Notofication on Valiant Navion Thoracic Stent Graft System - SAFE-N imaging reviews have identified stent ring detachment as a potential precursor to the development of endoleak and/or stent fracture.

Valiant Navion Thoracic Stent Graft System

MDA/FCA/2022-P089

GD8644419-29954

Recent SAFE-N imaging reviews have identified stent ring detachment as a potential precursor to the development of endoleak and/or stent fracture.

Wong Wai Yi

Associate Regulatory Affairs Specialist

Medtronic Malaysia Sdn Bhd

9 June 2022

FCA Initial Report on incorrect service procedure for patient speaker replacement on a bright speed table due to missing instructions in service manual and as a result got injured

 See Listing

MDA/FCA/2022-P090

 See Listing

Field Engineer (FE) performed incorrect service procedure for patient speaker replacement on a bright speed table due to missing instructions in service manual and as a result got injured. The FE mistakenly loosened and removed the six screws that fix the hydraulic cylinder to the table’s vertical column, causing the table to abruptly drop. The consequence of the high-energy external mechanical force from the table lacerated and fractured the FE's left arm. The laceration was treated with sutures and the FE was referred to an Orthopedic specialist for the fractured arm.

Sharon Lee

Regulatory Affairs Assistant

GE Healthcare Sdn Bhd

10 June 2022

Initial FCA Report on XN Haematology Analyser - burning odor from SP-50 around stain pool area

Sysmex Haematology

MDA/FCA/2022-P091

IVDB17531114618

Customers noticed burning odor from SP-50 around stain pool area. After further investigation it turned out that stain buildup from stain pool was accumulated on the stain pool insert detect sensor, causing short circuit

Dinesh Vijian

Regulatory Affairs Specialist

Sysmex (Malaysia) Sdn Bhd

11 June 2022

 

Initial FCA Report on ARCHITECT Hemoglobin A1c (A1c) & Alinity c Hemoglobin A1c Reagent Kit (HbA1c) - current set value for Low Linearity Range for the Total Hemoglobin is too low when analyzing whole blood or hemolysate samples with poor sample integrity.

 

1) ARCHITECT Hemoglobin A1c (A1c)

2) Alinity c Hemoglobin A1c Reagent Kit (HbA1c)

MDA/FCA/2022-P092

1) IVDB24013273018

2) IVDB6127219-28113

Abbott became aware of the linearity issue on 02MAY2021 during an

internal investigation, Problem Reporting System (PRS) PRS05429, of

potential improvements to ARCHITECT (LN 04P52) and Alinity (08P43)

Hemoglobin A1c (HbA1c) assay performance. Internal data analysis found

the current set value for Low Linearity Range for the Total Hemoglobin is

too low when analyzing whole blood or hemolysate samples with poor

sample integrity, due to micro-clots and particulate matter, associated with

low Total Hemoglobin values, which may lead to the potential for whole

blood %HbA1c results to be erratic.

Farah Syuhaidah binti Ahmad Jahiddin

Regulatory Affairs & Quality Assurance Executive

Abbott Laboratories (M) Sdn. Bhd.

13 June 2022

Initial FSCA Report onCarestation 750/750c anesthesia delivery systems used with one of the optional auxiliary outlets [ACGO (Auxiliary Common Gas Outlet) or Auxiliary O2+AIR] could trigger a mixer failure under certain conditions.

Carestation 750/750c A1 Anesthesia Delivery Systems

MDA/FCA/2022-P094

GC2333221-51495

Carestation 750/750c anesthesia delivery systems used with one of the optional auxiliary outlets [ACGO (Auxiliary Common Gas Outlet) or Auxiliary O2+AIR] could trigger a mixer failure under certain conditions. At specific O2 and total flow settings (described below) when using the auxiliary outlets, if there is an occlusion in the nasal cannula or linear circuit (e.g. due to clamping, kinking, blocked circuit, or high resistance), this can cause a mixer failure state. This will persist until the next reboot of the device.

Benedict Lee

GE Healthcare Sdn Bhd

Regulatory leader

14 June 2022

FSCA Notification on SOMATOM - Sporadic problems with the current software may result in workflow interruptions.

Somatom Definition AS, Somatom Definition Edge,

Somatom Drive, Somatom Force

MDA/FCA/2022-P095

(GC18552244817) (GC72839223617) (GC89196147817)

Sporadic problems with the current software may result in workflow interruptions.

Nur Ayuni Abas

Siemens Helathcare Sdn Bhd

14 June 2022

 

FSCA Notification on Sensis/Sensis Vibe VD12A - the ComboBox may encounter a disconnect of its communication during the first patient examination of the day or after a longer period of inactivity to theSensis Vibe system resulting in no vital signs being available.

 

Sensis Vibe

MDA/FCA/2022-P096

GC26491801918

With Sensis/Sensis Vibe VD12A the ComboBox may encounter a disconnect of its communication during the first patient examination of the day or after a longer period of inactivity to the Sensis Vibe system resulting in no vital signs being available

Nur Ayuni Abas

Siemens Helathcare Sdn Bhd

16 June 2022

FSCA Notification on Merlin Patient Care System - battery longevity overestimation

Merlin Patient Care System

MDA/FCA/2022-P097

GC71698496117

Trend has been observed for complaints reporting battery longevity overestimation. Users observe larger-than-expected drops in remaining battery longevity compared to prior follow-up sessions late in the device’s anticipated life. As of 26 May 2022, 30 of these complaints have resulted in premature explants prior to ERI. Device diagnostics are collected either through Merlin.net, the Merlin Programmer Model 3650, or the Merlin2 Programmer Model 3700 to calculate the remaining pacemaker longevity.

Sharon Wong Seow Lin

Quality Manager

Abbott Medical (Malaysia) Sdn. Bhd.

20 June 2022

FSCA Notification on Multi Modality Imaging System - Installing additional speakers to improve audio communication quality

Multi Modality Imaging System

MDA/FCA/2022-P098

GC338781143418

This document provides installation instructions for the SPECT gantry speakers of AnyScan S DUO, AnyScan S DUO FLEX and AnyScan S TRIO products, where speakers have not been installed during manufacturing.

Mr Wan Muhammad Hafis

QA/RA Executive

Abex Medical System Sdn Bhd

20 June 2022

FSCA Notification on Avance CS2, Avance CS2 Pro, and Aisys CS2 Anesthesia Systems base can have a crack in a specific location in the rear of the anesthesia system.

Avance CS2 and Avance CS2 Pro Anesthesia Systems

Aisys CS2 Anesthesia Systems

MDA/FCA/2022-P099

GC72098321117, GC59982267817

Avance CS2, Avance CS2 Pro, and Aisys CS2 Anesthesia Systems base can have a crack in a specific location in the rear of the anesthesia

system.

Sharon Lee

Regulatory Affairs Assistant

GE Healthcare Sdn Bhd

20 June 2022

FSCA Notification on certain Aisys CS2, Avance CS2, and Avance CS Pro Anesthesia Systems manufactured from January 1, 2021 to April 23, 2022 can potentially have the O2 & Air cylinder pressure transducers reversed.

Avance CS2 and Avance CS2 Pro Anesthesia Systems

Aisys CS2 Anesthesia Systems

MDA/FCA/2022-P100

GC72098321117, GC59982267817

Certain Aisys CS2, Avance CS2, and Avance CS Pro Anesthesia Systems manufactured from January 1, 2021 to April 23, 2022 can potentially have the O2 & Air cylinder pressure transducers reversed

Sharon Lee

Regulatory Affairs Assistant

GE Healthcare Sdn Bhd

21 June 2022

FSCA Notification on AriaDx Real-Time PCR System related to a potential data “mismatch” when operating in an unstable network environment.

AriaDx Real-Time PCR System

MDA/FCA/2022-P101

IVD1153435916A

Agilent has been made aware of one incident for the AriaDx Real-Time PCR System where the raw fluorescence data from instrument A was placed into instrument B’s experiment file, while instrument B’s experiment file headers and sample names remained as expected (i.e. the sample names and data are mismatched). Investigations have shown that this data “mismatch” is caused by an unstable network environment and can occur on both AriaDx and AriaMx Real-Time PCR Systems.

Wei Chen Chew

Quality Engineer

Agilent Technologies LDA Malaysia Sdn Bhd

22 June 2022

FSCA Notification on a potential to display inaccurate measurements on images in the Centricity Universal Viewer ZFP

Centricity Universal Viewer Zero Footprint Client Versions 6.0 SP6

through SP11.4

MDA/FCA/2022-P102

GB88139558518

Safety Issue #1: GE Healthcare has become aware of an issue where Distance and Area measurement values can display inaccurately on images that are scaled down from their original resolution.

Safety issue #2: When the image contains non-squared pixels including DICOM Gray Scale Presentation State (GSPS), such as some ultrasound and legacy MR images, all measurements displayed in the viewer as well as the scale marker are inaccurate.

Sharon Lee

Regulatory Affairs Assistant

GE Healthcare Sdn Bhd

27 June 2022

FCA Notification on SCHILLER DEFIGARD Touch 7 - cancellations of heart rate analyses after 30 seconds

SCHILLER DEFIGARD Touch 7

MDA/FCA/2022-P103

GC11767462517

Sometimes, when the device is switched on directly in manual or semi-automatic, defibrillation mode, the wrong ECG lead is selected and the patient ECG signal is not analysed by the SAS shock advice system

Cheah Siew Vooi

Regulatory Affairs & Quality Manager

Sciller Asia Pacific Sdn Bhd

28 June 2022

Notifikasi FCA bagi ventilator bellavistaTM yang boleh menghentikan ventilasi dan menjana Penggera Kegagalan Teknikal 305 – “Komunikasi kepada nyahsambung CFB (Technical Failure Alarm 305 – “Communication to CFB disconnected).”

BELLAVISTA Ventilator

MDA/FCA/2022-P104

GC116641014518

Ventilator bellavistaTM yang boleh menghentikan ventilasi dan menjana Penggera Kegagalan Teknikal 305 – “Komunikasi kepada nyahsambung CFB (Technical Failure Alarm 305 – “Communication to CFB disconnected).”

Noor Faizah Binti Kamarudin

Regulatory Affairs Executive

Schmidt Biomedtech Sdn Bhd

29 June 2022

FCA Notification on CHOLESTECH LDX SYSTEM - test failure was observed for one of the interfering substances, bilirubin during execution of PCP1305

CHOLESTECH LDX SYSTEM

MDA/FCA/2022-P105

IVDB15840341318

During the execution of PCP1305 (Design Verification Protocol for LDX Cassettes,

Specificity – Interfering Substances), a test failure was observed for one of the interfering substances, bilirubin. Further investigation performed under PCP1305-VERF-004 found that, in the presence of 5 mg/dL of unconjugated bilirubin, the percent bias for the TRG and HDL analytes was greater than 10%

Winnie Hii Lin Lin

Senior Regulatory Affairs Specialist

Abbott Diagnostics Health Sdn. Bhd.

30 June 2022

  pdf Field Corrective Action notification FA1265  HVAD™ Battery Performance Update. (325 KB)

Heartware Ventricular Assist System (HVAD)

MDA/FCA/2022-P106

GD74345985518

Medtronic is taking actions to address two separate battery issues: 1) a weld non-conformance has been identified within some batteries that can cause the battery to fail to deliver power, 2) an interaction between the battery software configuration and the battery circuit board can cause electrical faults within some batteries

Wong Wai Yi

Associate Regulatory Affairs Specialist

Medtronic Malaysia Sdn Bhd

30 June 2022

FSCN Report on Atellica CH Microalbumin (μALB_2) falsely elevated results when the prior sample is Iron (Iron_2)

Atellica CH Iron_2

MDA/FCA/2022-P107

IVDB2257286017

Siemens Healthcare Diagnostics Inc. has confirmed the potential for Atellica CH Iron_2 reagent carryover to impact Microalbumin_2 (μALB_2) results. Falsely elevated μALB_2 results are observed when the assay is processed immediately following an Iron_2 test on the Atellica CH analyzer (See Table 2). This issue can impact μALB_2 results for quality control (QC), patient samples and calibrators.

WILSON NG WEIL SHERN

QUALITY TECHNOLOGY EXECUTIVE

SIEMENS HEALTHCARE SDN BHD