Counterfeit Covidien Nellcor SpO2 Durasensor® (DS-100A) sensors

Notice type: Advisory

Date: 21/01/2011

 

Product name or type:
Nellcor Durasensor® (DS-100A) sensors Product Code: DS-100A


Reference:
SN2011(01)


Manufacturer Or Supplier:
Tyco Healthcare group LP 
Nellcor Puritan Bennett Division 
Pleasanton, CA USA 


Target Audience:
General Surgeons 
Theatre and Nursing Staff 
Purchasing Managers 
Nursing Managers 
Consultant General Surgeons 
A&E Departments 
Hospital Managers / CEOs 
Clinical Directors 
Risk Managers 
Hospital personnel 
Clinical Engineers 
Patients 


Problem Or Issue:
The supply and use of counterfeit Nellcor SpO2 Durasensor (DS-100A) sensors that are not guaranteed to meet the required standards of safety and quality, as required by the medical devices legislation


Background Information Or Related Documents:
In December 2010 the Irish Medicines Board (IMB) were informed that counterfeit Nellcor SpO2 Durasensor (DS-100A) sensors had been found on the market in the Netherlands and Germany. Following distribution of the IMB Safety Notice SN2010(17) the IMB has received confirmation that the counterfeit Nellcor SpO2 Durasensor (DS-100A) sensors have been supplied to a number of hospitals in Ireland. 
The legal product is manufactured by Tyco Healthcare Group LP, Nellcor Puritan Bennett Division. 


The IMB is distributing this updated Safety Notice to remind users of the Nellcor SpO2 Durasensor (DS-100A) sensors to carry out an inspection of all devices in stock, as per the instructions provided below by Covidien, to confirm their authenticity. 

Covidien has highlighted the following differences between the counterfeit devices and the genuine devices: 

1. Sensor- The authentic Covidien product has shiny finish on the device housing (figure 1- see pdf document) whereas the counterfeit product has an opaque finish (figure 2 - see pdf document) 

2. Feather of the sensor (can be seen when sensor is opened) - The authentic Covidien product has one winding of the feather (figure 3 - see pdf document) whereas the counterfeit product has three windings of the feather (figure 4 - see pdf document) 

3. Optical part of the sensor (can be seen if sensor is opened) - The authentic Covidien product has two visible cables in red and black (figure 5 - see pdf document) whereas the counterfeit product has no visible cables (figure 6- see pdf document) 

4. Carton Top - The authentic Covidien product does not have the REF symbol printed in Bold on the carton top label (figure 7- see pdf document) whereas the counterfeit product has the REF symbol printed in Bold (figure 8 -see pdf document) 

5. Carton bottom - The authentic Covidien product has a rounded press cut in the carton round (figure 9 - see pdf document) whereas the counterfeit product as angular press cut in the carton (figure 10 - see pdf document) 

6. Carton bottom - The counterfeit product has additional labels where “Handheld Pulse Oximeter-Oxygen Sensor” is printed on and additional bill of materials (figure 10 - see pdf document), as can be seen on picture 10 the additional labels indicate that the sensors were manufactured for use out of Europe and the European Union as there are none of the European languages on there. 

7. Carton bottom - The counterfeit product has a darker background colour (figure 9 - see pdf document) than the authentic product (figure 10 - see pdf document). 

The exact risks associated with the use of the counterfeit product are unknown. As the counterfeit product was not manufactured by Covidien they cannot confirm the performance, mechanical properties, biocompatibility or sterility of the product. Functional tests carried out by Covidien showed the counterfeit devices partially failed to provide SpO2 readings, when tested with OxiMax™/ Nellcor monitors. These sensors can be used with a range of monitors. 

The manufacturer, Tyco Healthcare Group, Nellcor Puritan Bennett Division, recommends that all products are purchased directly from Covidien or an authorised distributor. 

Covidien can be contacted by calling Deirdre O’Connor at 087 816 85 19 or Mark Gray at 087 653 8087 if you have medical questions regarding suspected counterfeit product. 

Counterfeit Covidien Nellcor SpO2 Durasensor® (DS-100A) sensors Document


Actions To Be Taken:
The IMB advises that: 

• All products in your possession should be checked using the details above to assess whether the product is genuine or counterfeit. 

• If from your assessment you determine or suspect that you have product that is counterfeit identify, locate and quarantine all product to ensure it will not be used. 

• If you identify that you have product that is counterfeit you should submit the information detailed in Appendix I to theHPRA (enforcement@hpra.ie). On receipt of this information the IMB will contact you to advise what further course of action is required.


Further Information:
All adverse incidents relating to a medical device should be reported to the: 

Health Products Regulatory Authority 
Kevin O’Malley House 
Earlsfort Centre 
Earlsfort Terrace 
Dublin 2 

Telephone: +353-1-6764971 
Fax: +353-1-6344033 


Enquiries should be addressed to: 

Local Covidien Office: 
Deirdre O’Connor at: 087 8168519 
Mark Gray at: 087 6538087 

Covidien Ireland 
Block G, 1st Floor 
Loughlinstown 
Dublin 

APPENDIX I 
Counterfeit Nellcor SpO2 Durasensor (DS-100A) Sensors Information 

Where counterfeit Nellcor SpO2 Durasensor (DS-100A) sensors have been identified at your facility the IMB request that you provide the following information to the HPRA


• Name, position and contact details of submitter. 


• Name and contact details of your facility. 


• Number of counterfeit Nellcor SpO2 Durasensor (DS-100A) sensors supplied. 


• Number of counterfeit Nellcor SpO2 Durasensor (DS-100A) identified and current location. 


• Name and contact details of supplier of counterfeit Nellcor SpO2 Durasensor (DS-100A) sensors. 


• Date of supply of counterfeit Nellcor SpO2 Durasensor (DS-100A). 


• Have any adverse incidents relating to counterfeit Nellcor SpO2 Durasensor (DS-100A) been reported? If so, please provide details. 


Click here To download a PDF version of this safety notice


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