Patient Safety Alerts

• February 2025: Breathing Circuit Kit Recall: Sentec/Percussionaire Removes VDR4 Phasitron Breathing Circuits
• October 2024: Ventilator Software Correction: Philips Respironics Issues Mandatory Software Correction and Updates
• September 2024: Baxter Recalls Certain Volara System Single-Patient Use Circuits and Blue Ventilator Adapter Assemblies
• March 2024: Abiomed Recalls the Instructions for Use for the Impella Left Sided Blood Pumps due to Perforation Risks
• March 2024: Datex-Ohmeda Recalls EVair Air Compressors Due to Formaldehyde Emissions Found in Specific Conditions When Used with CARESCAPE R860, Engstrom Carestation or Pro Ventilators
• Novemeber 2023:Covidien LLC recalls McGRATH MAC Video Laryngoscope
• November 2023: Cardinal Health Recalls Monoject Disposable Syringes for Incompatibilities with Syringe Pumps
• October 2023: Olympus Recalls Olympus High Flow Insufflation Unit Due to Over-Inflation
• September 2023: Fresenius Medical Care Recalls Some Hemodialysis Machines for Potential Exposure to Toxic Compounds | FDA

• September 2022: Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up | FDA

• September 2022: Medtronic MiniMed 600 Series Insulin Pump System Potential Cybersecurity Risk Cybersecurity | FDA

• September 2022: Abbott MitraClip Device: Potential for Clip Lock Malfunctions - Letter to Health Care Providers | FDA

• August 2022: Intera Oncology Recalls Intera 3000 Hepatic Artery Infusion Pump Due to Faster Than Expected Flow Rates That May Impact Infusion Delivery | FDA

• August 2022: Plastikon Healthcare Expands Voluntary Nationwide Recall of Milk of Magnesia Oral Suspension and Magnesium Hydroxide /Aluminum Hydroxide /Simethicone Oral Suspension Due to Microbial Contamination | FDA
• August 2022: Recall of 23,000 batteries for the Medtronic HVAD System
• July 2022: Hospira Issues a Voluntary Nationwide Recall for One Lot of Propofol Injectable Emulsion, USP (Containing Benzyl Alcohol), Due to the Potential Presence of Visible Particulate | FDA

• June 2022: Becton Dickinson Recalls Intraosseous Needle Set Kits, Intraosseous Manual Driver Kits, and Intraosseous Powered Drivers for Issues That May Cause Delayed Treatment Delivery | FDA

• June 2022: Covidien, LLC (Medtronic) Recalls Palindrome and Mahurkar Hemodialysis Catheters Due to Catheter Hub Defect | FDA

• June 2022: Baxter Healthcare Corporation Recalls Abacus Order Entry and Calculation Software for Risk of Medication Label Errors | FDA

• April 2022: Smiths Medical Recalls Certain Medfusion 3500 and 4000 Syringe Infusion Pumps for Software Issues That May Impact Infusion Delivery | FDA

• April 2022: GE Healthcare Recalls CARESCAPE R860 Ventilator Due to Early Failure of Backup Batteries that May Cause Unexpected Ventilator Shut Down | FDA

• November 2021: Update: Certain Philips Respironics Ventilators, BiPAP Machines, and CPAP Machines Recalled Due to Potential Health Risks: FDA Safety Communication | FDA

Archived Alerts and Newsletters

Alerts

• February 2010 Alert: Potential Errors Associated with Radiation Therapy [pdf 122k]

• June 2009 Alert: Automatic Endoscope Reporocessors [pdf 95k]

• April 2007 Alert: Hypoglycemia Caused by Unintended Insulin in Total Parenteral Nutrition for an Infant in the Neonatal Intensive Care Unit [pdf 104k]

• May 2006: MRIs and Sandbags Filled with Metal Shot [pdf 32k]

 Newsletters

• October 2010: Sharing Experiences and Preventative Measures [pdf 158k]
• September 2009: Retained Foreign Objects During Vaginal Deliveries and Caesarian Sections [pdf 282k]
• March 2009: Overview of the Patient Safety Mandatory Reporting System [pdf 232k]
• June 2008: Suicide in the Hospital Setting [pdf 231k]
• April 2008: Review of Invasive Procedures: Wrong Patient, Wrong Site, Wrong Procedure [pdf 209k]
• December 2006: Review of Retained Objects and Lost Specimens [pdf 196k]
• June 2006: Review of Imaging Process, Errors and Potential Solutions [pdf 472k]
• February 2006: Highlighting Falls and Review of Medication Errors [pdf 580k]
• November 2005: Review of Events/RCAs and Examples of Reportable and Non Reportable Events [pdf 433k]