inforMED
MalfunctionFKH

MESA LABORATORIES 7.0 PH SOLUTION

Received Oct 3, 2013 · Event occurred Sep 25, 2013

Report 3670470 · MDR key 3670470

Device

Generic name

Mesa Laboratories 7.0 Ph Solution

Manufacturer

Mesa Laboratories

Catalog number

02.0031

Lot number

ML-P7-1148

Product problems

  • Microbial Contamination of Device
  • Contamination of Device Ingredient or Reagent

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

A 7.0 PH SOLUTION FROM (B)(4) RECALLED. THIS SOLUTION IS USED TO CALIBRATE PHOENIX METERS WHICH ARE USED TO TEST PH AND CONDUCTIVITY ON OUR DIALYSIS MACHINES. FIRST ALERT SENT OUT FROM MESA LABORATORIES ON (B)(6) INDICATING 'BACTERIA GROWTH' IN 7.0 PH SOLUTION. ALERT INFORMS US TO SEQUESTER ALL AFFECTED BOTTLES OF 7.0 PH SOLUTIONS. SOLUTION SEQUESTERED ON (B)(6) 2013. ALL DIALYSIS MACHINES HEAT OR BLEACH DISINFECTED PER THE FIRST ALERT. SECOND ALERT SENT OUT ON (B)(6). THIS ALERT CHANGES TERMINOLOGY FROM 'BACTERIA GROWTH' TO 'MOLD.' ALERT INFORMS US TO PERFORM BLEACH DISINFECTION ON ALL DIALYSIS MACHINES. MACHINES DISINFECTED PER THE ALERT.