Device recalls

Boppli: Bedside Device Kit, REF: 54-0002; Sensor Band, REF: 51-0007

PYRAMES INC · Single-use battery-powered blood pressure monitor, for use on neonates and infants, due to vibratory noise, may not adequately detect changes in blood pressure…

Open, ClassifiedSoftware designZ-1508-2025
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Cfres ID
212811
Product res number
Z-1508-2025
Event date initiated
2025-02-24
Event date posted
2025-04-02
Recall status
Open, Classified
Res event number
96414
Product code
DXN
Product description
Boppli: Bedside Device Kit, REF: 54-0002; Sensor Band, REF: 51-0007
Code info
Software version: 2.2.3 Part/UFI-DI/Lot: 54-0002/10860007282925/24020902, 24040302, 23103002; 51-0007/10860007282901/24011702, 24111301
Firm FEI number
3014466900
Recalling firm
PYRAMES INC
Address 1
21730 Stevns Crk Blvd Ste 201a 21730 Stevns Crk Blvd
Address 2
Ste 201a
City
Cupertino
State
CA
Postal code
95014-1171
Root cause description
Software design
Product quantity
35
Distribution pattern
US distribution to states of: MA and CA
Reason for recall

Single-use battery-powered blood pressure monitor, for use on neonates and infants, due to vibratory noise, may not adequately detect changes in blood pressure per specification. Containment actions: 1) Ventilator lines not to touch the isolette (e.g. mattress, side rails, pillow) or patient, 2) Move affected monitor to patient's foot.

Action

The firm sent a MEDICAL DEVICE CORRECTIONS NOTTICE" dated 3/5/2025 to its customers describing the product, problem and actions to be taken. Starting on 2/24/2025, the firm started providing training to users to inform them of the following: Signal may be green, but high frequency noise appears superimposed on pulse waveform signal. Containment actions: 1) Ensure that ventilator lines do not physically touch the isolette (e.g. mattress, side rails, pillow) or baby. 2) Move Boppli to patient's foot. On 3/7/2025, correction notices were emailed to customers who in addition to the above were asked to do the following: 3) Use cuff measurement(s) to confirm that the signal is no longer affected by the high-frequency oscillatory ventilation (HFOV) interference. 4) Share this notice with anyone who needs to be made aware within the organization and forward to any organization where potentially affected devices have been transferred. 5) If these actions do not mitigate the issue, discontinue using the affected blood pressure monitoring device. Firm will be releasing a new version of software that will recognize the HFOV interference, indicate its presence by changing the signal color to red, and exclude that data from BP calculations. It is expected that this solution will be implemented by April 30, 2025. The Instructions for Use (55-0001 Rev. E) was updated to include warnings of vibratory interference, what it looks like and what to do when it is identified. Please contact support@pyrameshealth.com or 408-569-5215 for further information.

K numbers
K223873
Harmonized identifiers (openFDA)
Device name
System, Measurement, Blood-Pressure, Non-Invasive
Medical specialty description
Cardiovascular
Regulation number
870.1130
Device class
2
K number
K140762, K182245, K173895, K850316, K812409, K240102, K864737, K051546, K002882, K942423, K811781, K192023, K843446, K040799, K831515, K871886, K081159, K220676, K780754, K850477, K090058, K813385, K913595, K800614, K791054, K153033, K021252, K042273, K060194, K123539, K141755, K131463, K073397, K012310, K014122, K192058, K823501, K061558, K093931, K082357 +1,186 more
Registration number
2648045, 3015236197, 3008729547, 3008167616, 3009456923, 3003589956, 3012302888, 3017896172, 3003193933, 3013445220, 3010390468, 3016674095, 3043226252, 3033589330, 3014541700, 3009156722, 3024512705, 3016170326, 3003622639, 3043513123, 3004727093, 3013896610, 3032948391, 3013679558, 3009690509, 9710654, 2434008, 3031789039, 9610816, 3038620598, 2025816, 3005737664, 3003971136, 3018008670, 3013561145, 3008483389, 3010405299, 3008011951, 3038761440, 3007603826 +387 more
FEI number
2648045, 3015236197, 3008729547, 3008167616, 3009456923, 3003589956, 3012302888, 1000292048, 3017896172, 3003193933, 3013445220, 3010390468, 3016674095, 3043226252, 3033589330, 3014541700, 3009156722, 3024512705, 3016170326, 3003622639, 3043513123, 3004727093, 3013896610, 3032948391, 3013679558, 3002806476, 3009690509, 2434008, 3031789039, 3038620598, 2025816, 3005737664, 3003971136, 3018008670, 3013561145, 3008483389, 3010405299, 3008011951, 3038761440, 3007603826 +387 more
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Data from openFDA, FDA's public API. FDA says not to rely on it to make decisions about medical care and to treat every result as unvalidated; confirm against FDA's own record and the product labeling. Not medical or legal advice.