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

3 March 2022

 2021-CC-EC-012- M5071A (adult) and M5072A (infant/child) pads for use with HS1/OnSite/Home AEDs may experience gel separation and reduction of gel surface area.

M5071A (adult) and M5072A (infant/child) pads

MDA/FCA/2022-P024

GC78411544718

When a pad with separated, folded gel is placed on the patient’s bare skin, the HS1/OnSite/Home AED could deliver less effective or ineffective therapy to the patient due to the reduced surface contact area with the skin.

Zam Zarina Mat Ail

Quality & Regulatory Manager

Philips Malaysia Sdn. Bhd.

Tel +6019 322 0792

Email [email protected]

4 March 2022

 FSCN Report on Enhanced Estradiol (eE2) of f Atellica® Solution and ADVIA Centaur® Systems Affected Product(s)  – Falsely Elevated Results Observed with Plasma Specimens.

Atellica® Solution and ADVIA Centaur® Systems Affected Product(s)

MDA/FCA/2022-P025

IVDB84090171418 IVDB84090171418

IVDB4853331017

IVDB4853331017

Siemens Healthcare Diagnostics Inc. has confirmed customer observations of falsely elevated results when using plasma specimens with the Atellica IM Enhanced Estradiol (eE2) assay. Results demonstrate that plasma specimens are not meeting claims as defined in the Instructions for Use (IFU).

Wilson Ng

Quality & Technology

Siemens Healthcare Sdn. Bhd.

7 March 2022

FSN Report on Vessel Sealer Extend, SynchroSeal - Potential for Insufficient Sealing with da Vinci X/Xi Vessel Sealer Extend (PN 480422) and SynchroSeal (PN 480440) Instruments

Vessel Sealer Extend, SynchroSeal

MDA/FCA/2022-P026

GC3810021-64842

placing excessive tissue in the instrument jaws of the Vessel Sealer Extend or SynchroSeal instruments prior to sealing and transection can result in an insufficient seal resulting in either immediate or delayed bleeding.

Li Fang Tan

Regulatory Affairs Associate

DTG Medical

7 March 2022

 FSN on Fore-Sight Elite Tissue Oximeter Module - large sensors in certain somatic locations (arms and legs), the StO2 values will be inaccurately low

Fore-Sight Elite Tissue Oximeter Module

MDA/FCA/2022-P027

GC766371236819

When using the large sensors in certain somatic locations (arms and legs), the StO2 values will be inaccurately low. The low StO2 values are noticeable upon start-up. Inaccurate values can lead to inappropriate/unintended treatment. Adult cerebral and flank/abdomen locations and all paediatric locations are not impacted.

Chiew Chee Hoe

Sr. Regulatory Affairs Specialist

Edwards Lifesciences, Malaysia Sdn. Bhd.

B03-A-15-01, Menara 3A,

No 3, Jalan Bangsar, KL Eco City,

59200, Kuala Lumpur.

8 March 2022

 FSN AR176 Artisan Grocott's Methenamine Silver (GMS) Stain Kit Box 1 & 2 Lots 11302633, 11311107, 11316517 and 11326608 -  strong fungal staining in both control tissue as well as patient tissue

AR176 Artisan Grocott's Methenamine Silver (GMS) Stain Kit Box 1 & 2

MDA/FCA/2022-P028

IVDB12848297618

Some customers reported strong fungal staining in both control tissue as well as patient tissue with the Lot numbers 11302633, 11311107, 11316517 and 11326608

Nurul

(Regulatory Affairs Executive)

Bita Lifescience Sdn Bhd

9 March 2022

 FCA Report_CVG-22-Q1-02 Reveal LINQ with TruRhythm™ Insertable Cardiac Monitoring Systems

Carelink Programmer For cardiac implantable device CareLink Encore

Reveal and Reveal LINQ Insertable Cardiac Monitor

MDA/FCA/2021-P029

GC225231049318, GD39137784918, GD89249865118

Medtronic  has  identified  that  Reveal  LINQ  with  that undergo    a    partial    electrical    reset    appear    to    be programmed “ON,” but are no longer able to detect and report Brady and Pause events

Wong Wai Yi

Medtronic Malaysia Sdn Bhd

Office +603-78838000

Email: [email protected]

9 March 2022

 Initial Report FSN on  PHADIA AB immunochemistry Allergy - increased frequency of dispensing errors due to capsules stuck in carriers

PHADIA AB immunochemistry Allergy

MDA/FCA/2021-P030

IVDB4145881517

Small deformations of capsules may occasionally occur during manufacturing. Small deformations may cause capsules to get stuck in the carrier, which can lead to dispensing problems and generate error messages in the Phadia instruments

Najah Suadah Zakaria   Regulatory & QA Executive

Biomarketing (M) Sdn Bhd

9 March 2022

 Initial Report FSN on 2021-IGT-BST-030 - Azurion R1 - x correction for Patient Type issue.

Azurion 7 B20

Azurion 3 M15

Azurion 7 B12

Azurion 7 M12

Azurion 7 M20

MDA/FCA/2021-P031

GC59959884718

GC82521235717

GC99381544218

A change in the patient type could lead to Image Quality Degradation (in case that the radiation dose is too low) or additional X-ray dose for the

patient (when the radiation is higher than the one required). No harm is expected from the additional radiation dose

Zam Zarina Mat Ail

Quality & Regulatory Manager

Philips Malaysia Sdn. Bhd.

Tel +6019 322 0792

Email: [email protected]

11 March 2022

 Initial Report FSN on Oncentra® Brachy -  the applicator model may get mirrored.

FLEXITRON

MDA/FCA/2022-P032

GC3716519-29208

In two rare scenarios, the applicator model may get mirrored. This is caused by a design fault in the mapping of the applicator model to the user provided anchor point. If unnoticed, this could result in a difference between the planned and delivered dose.

Mr Hafis 

QA/RA Executive

Abex Medical System Sdn. Bhd

15 March 2022

 AC/DC power supply board (PC 1995) in Maquet Servo Ventilation Systems - current-limiting resistor on the AC/DC Power supply board (PC 1955) may degrade over time, and prevent the AC/DC from performing as specified.

Maquet Servo Ventilation System

MDA/FCA/2022-P033

GC87295608718

For ventilators operating at mains power voltage 220V-240V, Maquet Critical Care have identified that a current-limiting resistor on the AC/DC Power supply board (PC 1995) may degrade over time, and prevent the AC/DC from performing as specified.

Ms Syahirah Fatini

IDS Medical Systems (M) Sdn Bhd

15 March 2022

 FSN Initial Report Merlin Patient Care System, with software model 3330 v25.0.X – v25.3.X.- decrement capture test and attempts to cancel the test prior to the first decrease in amplitude, they may encounter this issue

Merlin Patient Care System

MDA/FCA/2022-P035

GC71698496117

Under normal system usage, the issue described in the HHE will not be encountered, and the test will end upon user request. However, if the user runs a decrement capture test and attempts to cancel the test prior to the first decrease in amplitude, they may encounter this issue.

Ms Sharon Wong

Abbott Medical (Malaysia) Sdn. Bhd.

16/3/2022

 Initial Report of FCA on Dimension Total Protein/Albumin Calibrator (TP/ALB CAL) lot 1JD021-Incorrect Expiration Date in Instructions For Use

Dimension® Total Protein/Albumin Calibrator

MDA/FCA/2022-P036

IVDB8603225917 IVDB6230274717

Siemens Healthineers has confirmed that the Dimension Total Protein/Albumin Calibrator (TP/ALB CAL) listed in Table 1 has an incorrect expiration date (2022-01-10, January 10, 2022) listed in the Instructions For Use (IFU) and incorporated in the 2D barcode contained within the IFU.

Mr Wilson Ng

Siemen HEALTHCARE SDN BHD

17/3/2022

 Initial Report of FCA - Stratus CS 200 & Stratus CS Rotor Shelf-Life Extension

Rotors

MDA/FCA/2022-P037

IVDA77490195818

Siemens Healthcare Diagnostics Inc. determined that the shelf-life of those rotors can be extended by 3 months and 2 weeks, given further review of product stability data.

Mr Wilson Ng

SIEMENS HEALTHCARE SDN BHD

17 March 2022

 FSN initial report for 2021-IGT-PUN-001-(Endura Pulsera Veradius) - Additional Regulatory Information – System Component Temperature.

BV Endura Release 2.3

BV Pulsera Release 2.3

Veradius Unity Release 2.1

MDA/FCA/2022-P038

GC16937716718

GC46581836318

GC64557742818

Philips has identified that the Instructions for Use of these products do not specify the maximum surface temperature of the X-ray tank

Mrs Zam Zarina Mat Ail

Quality & Regulatory Manager

Philips Malaysia Sdn. Bhd.

Tel +6019 322 0792

Email [email protected]

17 March 2022

FSN Initial Report on 2021-IGT-PUN-001-Intuis - Additional Regulatory Information – System Component Temperature

Philips Intuis

MDA/FCA/2022-P039

GC25539161917

Philips has identified that the Instructions for Use of these products do not specify the maximum surface temperature of the X-ray tank

 

Mrs Zam Zarina Mat Ail

Quality & Regulatory Manager

Philips Malaysia Sdn. Bhd.

Tel +6019 322 0792

Email [email protected]

17 March 2022

 FSN Initial Report on 2021-IGT-PUN-001- BV Vectra - Additional Regulatory Information – System Component Temperature

Philips BV Vectra

MDA/FCA/2022-P040

GC27533129017

Philips has identified that the Instructions for Use of these products do not specify the maximum surface temperature of the X-ray tank

 

Mrs Zam Zarina Mat Ail

Quality & Regulatory Manager

Philips Malaysia Sdn. Bhd.

Tel +6019 322 0792

Email [email protected]

17 March 2022

FCA Initial Report on Atellica UAS 800/ 1500 Device Door Gas Spring Failure

Atellica UAS 800 Analyzer

MDA/FCA/2022-P041

IVDB43102172618

Siemens Healthcare Diagnostics has confirmed that the door gas spring which holds the analyzer door open is failing before its specified lifetime

Mr Wilson Ng

Siemen Healthcare Sdn Bhd

18 March 2022

 FCA Initial Report on 2021-CC-HRC-003 - V60/V60 PLUS/V680 Ventilators - 35V Rail.

V60/V60 Plus/V680 Ventilator

MDA/FCA/2022-P043

GC47771332217

GC26388685318

All V60/V60 Plus and V680 units have been identified to have potential issue that could affect the main electrical circuit (“35V Rail”) powering the ventilator and alarm

Ms Zam Zarina Mat Ail

Quality & Regulatory Manager

Philips Malaysia Sdn. Bhd.

Tel +6019 322 0792

Email [email protected]

18 March 2022

 FCA Initial Report of Remel™ Culti-Loops™ Candida albicans ATCC ™ 10231 ™ PK/5 - R4601503 lot 294388 is not performing as expected.

Remel™ Culti-Loops™ Candida albicans ATCC ™ 10231 ™ PK/5

MDA/FCA/2022-P044

IVDB8212720-43836

An internal investigation has found that R4601503 lot 294388 is not performing as expected.

Ms Gan May Ping

Thermo Scientific Microbiology Sdn. Bhd.

22 March 2022

 FCA Initial Report on MUSE NX Cardiology Information System - Edits to measurements and diagnosis statements can be lost after a test is Signed in the MUSE NX web client.

MUSE NX Cardiology Information System

MDA/FCA/2022-P046

GB8813220-41745

Edits to measurements and diagnosis statements can be lost after a test is Signed in the MUSE NX web client.

Mr Benedict Lee

Regulatory leader

GE Healthcare Sdn Bhd

24 March 2022

 FCA Initial Report of Sureform 45, Sureform 45 curved tip & Sureform 60 - tissue pushout events

Sureform 45, Sureform 45 curved tip & Sureform 60

MDA/FCA/2022-P047

GC3810021-64842

Intuitive initiated a review of complaints on SureForm PNs 480445, 480545, 480460 to determine rate of harm due to tissue pushout events. This action was completed as partof an internal CAPA.

Ms Tan Li Fang

Regulatory Affairs Associate

DTG MEDICAL SDN.BHD.

25 March 2022

 FCA Initial Report on Alinity I Homocysteine Reagent kit - produce suboptimal calibrations resulting in a downward shift of quality control results.

Alinity I Homocysteine Reagent kit

MDA/FCA/2022-P048

IVDC10485419-29133

Abbott has identified that some reagent kits produce suboptimal calibrations resulting in a downward shift of quality control results

Ms Farah Syuhaidah binti Ahmad Jahiddin

Abbott Laboratories (M) Sdn. Bhd.

26 March 2022

 

Initial FCA Report on VITROS Immunodiagnostic Products- low-level quality control (QC) andpatient samples at the low end of the Measuring (Reportable) Range when using VITROS FSH, LH and Prol Reagent.

patient samples at the low end of the Measuring (Reportable) Range when using VITROS FSH, LH and Prol Reagent.

 

VITROS Immunodiagnostic Products FSH Reagent Pack (1931922)

 VITROS Immunodiagnostic Products LH Reagent Pack (1350198)

VITROS Immunodiagnostic Products Prolactin Reagent Pack

MDA/FCA/2022-P049

IVDB18875152118

Ortho Clinical Diagnostics has observed an increase in complaints, and confirmed observed imprecision, for low-level quality control (QC) and

patient samples at the low end of the Measuring (Reportable) Range when using VITROS FSH, LH and Prol Reagent. Complaints have also been

received regarding calibration failures, driven by imprecision observed with Calibrator Level 1.

Ms Siti Noor Liyana Abd Gani

Regulatory Affairs & Quality Assurance Senior Executive

DiagnostiCARE Sdn. Bhd.

30 March 2022

 FCA Initial Report on Advanta V12 Vascular Covered Stent - separation of the balloon or catheter hub from delivery catheter during delivery system withdrawal.

Advanta V12 Vascular Covered Stent

MDA/FCA/2022-P050

GD56085853618

an increased of customer complaint rate related to separation of the balloon or catheter hub from the delivery catheter during delivery system withdrawal.

Ms Chan Liy Hui

Regulatory affairs

Edaran Bio-Medik Sdn Bhd

31 March 2022

 FCA Initial Report on Puritan Bennet 980 Ventilators - did not annunciate an audible alarm during active alarm conditions

Puritan Bennet 980 Ventilators

MDA/FCA/2022-P052

GC95166567018

Medtronic received complaints alleging that PB980 ventilators did not annunciate an audible alarm during active alarm conditions

Ms Mariani Masjidan

Medtronic Malaysia Sdn Bhd