FDA Recall Open, Classified

Aquilex Fluid Control System-Intended to provide fluid distension of the uterus during diagnostic and operative hysteroscopies and to monitor the volume differential between the irrigation fluid flowing into and out of the uterus. Models AQL-100PBS and AQL-100P

Recall: Z-2629-2023 · Initiated July 17, 2023

Recall

Recall Number
Z-2629-2023
Event Number
92938
Firm
WOM World Of Medicine AG Alte Poststr. 11 Ludwigsstadt Germany
FEI Number
3002914049
Product Code
HIG
Status
Open, Classified
Root Cause
Software design
Initiated
July 17, 2023
Posted
January 5, 2024

Description

Aquilex Fluid Control System-Intended to provide fluid distension of the uterus during diagnostic and operative hysteroscopies and to monitor the volume differential between the irrigation fluid flowing into and out of the uterus. Models AQL-100PBS and AQL-100P

Reason

The display of inflow volume can reach its limit of 30,000 ml during long procdeure and the inflow volume display will freeze at the maximum value while the deficit will start counting backwards until 0 ml is reached and may result in fluid overload

Action

W.O.M. World of Medicine GmbH (WOM), notified the US/Canada distributor Hologic via E-mail Urgent Field Safety Notice (FSN) - MEDICAL DEVICE RECALL Aquilex Fluid Control System Pump - REF AQL-100PBS and AQL-100P WOM reference no.: 2023-0001 on 7/17/23. Hologic notified sales representatives and the end users (hospitals and medical facilities) in the US and Canada on 8/21/2023 via Telephone calls and letter. Letter states reason for recall, health risk and action to take: W.O.M. WORLD OF MEDICINE GmbH has developed a software version, which, among others, starts emitting visual and acoustic signals when an inflow volume of 28,000 ml is reached. Additionally, the system will pause when an inflow volume of 30,000 ml is reached and is designed to prepare the user for a manual fluid deficit determination. Action To Be Taken by the User: Ensure that the affected devices receive their preventive maintenance on time, every two years, as prescribed by the manufacturer. A new software version and an updated version of the IFU are implemented during the next due preventive maintenance of the pump of the Aquilex Fluid Control Systems AQL-100PBS as well as AQL-100P. Also, please complete Customer Acknowledgement Form (Annex 2). This notice should be provided to all personnel who need to be made aware of this issue within your organization.

Distribution

Nationwide Foreign: Canada, Australia, New Zealand, Belgium, France, Germany, Ireland, Netherlands, Spain, Sweden, Norway, Switzerland, UK, Kuwait, Qatar, Turkey, UAE

Quantity

1287 units