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Examples of different classes of recall action
Note: This information is part of the Consultation: Revised edition of the Uniform Recall Procedure for Therapeutic Goods
As part of the Uniform Recall Procedure for Therapeutic Goods, the TGA classifies recalls into three risk classes to convey the seriousness of the deficiency and the degree of risk involved. Unlike the classes used for medical devices and biologicals, a Class I recall is the most serious.
- Class I recall - a situation in which there is a reasonable probability that the use of, or exposure to, a deficient product will cause serious adverse health consequences or death.
- Class II recall - a situation in which use of, or exposure to, a deficient product may cause temporary or medically reversible adverse health consequences or where the probability of serious adverse health consequences is remote.
- Class III recall - a situation in which use of, or exposure to, a deficient product is not likely to cause adverse health consequences.
Class I and Class II recalls are safety-related, whereas Class III recalls are not safety-related.
Class I examples
Medicine examples of Class I recalls:
- wrong product (label and contents are different products) with serious medical consequences
- chemical contamination with serious medical consequences
- microbial contamination of sterile injectable or ophthalmic product
- mix-up of some products ('rogues') with more than one container involved
- wrong active ingredient in a multi-component product with serious medical consequences.
Medical device examples of Class I recalls:
- hot/cold gel pack contains a toxic substance that could be ingested accidentally by a young child
- higher fracture rates for implantable cardiac leads that may result in Implantable Cardioverter Defibrillators (ICDs) not providing effective therapy, resulting in serious injury or death
- software defects resulting in linear accelerators delivering the wrong radiation dose or delivering to the wrong location
- hardware or software failures in ventilators resulting in shut down during its use
- a false result on an IVD test for a medicine with a narrow therapeutic range that could lead to an overdose, causing permanent injury
- False negative result on an IVD test for a serious or highly contagious disease.
Biologicals and blood component examples of Class I recalls:
- retained samples of pulmonary allograft showed positive microbial growth of a pathogenic organism
- blood components accidently released after donation tested initial-positive to mandatory testing.
Class II examples
Medicine examples of Class II recalls:
- mislabelling (for example, wrong or missing text or figures)
- missing or incorrect safety information in leaflets or inserts
- microbial contamination of non-injectable, non-ophthalmic sterile product with medical consequences
- mix-up of products in containers ('rogues')
- non-compliance with specification, such as in an assay, stability, fill or weight resulting in medical consequences
- insecure or incorrect closures for medicines such as cytotoxics, potent products and medicines requiring child-resistant packaging resulting in medical consequences.
Medical device examples of Class II recalls:
- microbial contamination of a personal lubricant
- higher than expected rate of revision surgeries due to mechanical failures to one of the components in a total hip, knee or shoulder implant
- infusion pumps giving visual or audible alarms due to software or hardware issues resulting in delay in infusion
- omission of precautionary information on procedures that could cause complications for the patient, such as omission from the Instructions for use for a catheter of a precaution for certain procedures that could cause complications in its removal
- an IVD test kit that could identify the wrong strain of micro-organism and lead to inappropriate treatment.
Biologicals and blood component examples of Class II recalls:
- subsequent testing of the bone donor has shown development of cancer
- the culture sample for microbial testing was mislabelled with that of another donor, resulting in the potential for the biological being released with untraceable results
- suspected bacterial contamination due to adverse transfusion reaction while infusing the blood component manufactured from the same donation
- geographical or medication deferral not applied or applied incorrectly for the blood donation.
Class III examples
A Class III recall is a non-safety related recall. The product meets acceptable standards of safety and efficacy and the issue does not in itself present an imminent risk. However, if not rectified, the situation may present a hazard in the future.
Medicine examples of Class III recalls:
- faulty packaging, such as wrong or missing batch number or expiry date
- faulty closure not resulting in any medical consequences
- contamination with no medical consequences, including:
- microbial spoilage
- dirt or detritus
- particulate matter.
Medical device examples of Class III recalls:
- a disinfectant has been mislabelled with an expiry date that predates the actual expiry date
- the outer packaging of a medical device indicates a different size to that which is actually in the supplied in the box, but it would be obvious to the clinician that the device was the incorrect size
- an IVD reagent is causing calibration failures towards the end of its shelf life, but there is no effect on patient results.
|Version||Description of change||Author||Effective date|
Publication for consultation
Content taken from the URPTG - Uniform Recall Procedure for Therapeutic Goods
|Therapeutic Goods Administration||27 October 2015|