510(k) Addresses FDA Hemodialysis Machine Concerns

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FDA has cleared a Fresenius Medical 510(k) to implement changes to its 2008T hemodialysis machines that include use of modified silicone tubing in the hydraulics of the machine, specifically platinum catalyst silicone tubing. The clearance addresses certain machines that FDA warned about earlier this year about the potential risk of exposure to non-dioxin-like (NDL) polychlorinated biphenyl acids (PCBAs) and NDL polychlorinated biphenyls (PCBs).

Based on information provided by Fresenius, NDL PCBAs and NDL PCBs were not detected in machines with the modified silicone tubing, an FDA updated notice says. The source of the toxic compounds is the silicone tubing used as a part of the hydraulics in the machine and the dialysate lines, an FDA alert says. “Although this silicone tubing does not directly contact the blood, there is the potential for back filtering through the dialyzer into the patient’s blood circulation during treatment,” it says.

FDA says that so far it has not received any adverse event reports related to this matter. However, adverse effects of “NDL PCBs in animals have been reported in the literature, such as endocrine dysfunction, hepatic effects, neurobehavioral alterations, and male reproductive effects.”

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