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Indianapolis, Ind. September 26, 2003
Nationwide recall notice on medical device used to determine
blood clotting time
Roche Diagnostics is notifying users of an important recall of
all CoaguChek PT test strips currently in the market place because
of the potential for a packaging defect that will cause false results.
CoaguChek PT test strips are used by patients in the home and by
professionals in medical settings to determine blood clotting time
of patients taking anti-coagulants, also known as blood thinners,
and to diagnose some disease conditions. Incorrect results may have
serious or life threatening consequences because patients may be
improperly diagnosed or improperly treated. Blood thinners are used
to treat patients with a potential for blood clots. For example,
patients with heart valve replacement, certain types of heart disease
or blood clots in their legs.
Roche has determined that some of the foil pouches in which the
test strips are packaged were improperly sealed allowing moisture
and air to enter the pouch. These products give false results when
exposed to moisture for more than a few minutes. Home users should
contact their health care professional for further advice and instructions.
Roche Diagnostics is notifying all home users and health care professionals
who use the product to inspect the foil pouch prior to use and to
perform duplicate testing for all lots until further notice. The
problem is the perforation and the "easy open" notches
are not properly centered between the pouches. Users must inspect
each pouch prior to use, not use any strips from that box if they
see a defect, and run two test strips each time they test in case
they fail to visually detect the defect.
Investigations reveal that only a small percentage of the strips
are affected. There have been no reports of illnesses or injuries
resulting from a pouch defect.
Letters are being sent to customers, providers, and physicians,
informing them of this voluntary action. Additional information,
including a photograph of the defective pouch, will be posted on
Roche Diagnostics' U.S. CoaguChek Web site at: http://www.coaguchek-usa.com.
US customers with immediate concerns, or interested in details
of this recall, can call Roche Diagnostics Point of Care Technical
Service at: 1-800-428-4674.
Roche Diagnostics has implemented corrective actions to resolve
this issue. This action is being taken by Roche Diagnostics with
the knowledge of the U.S. Food and Drug Administration.
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