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U.S. Department of Health and Human Services

Class 2 Device Recall HemoSense

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  Class 2 Device Recall HemoSense see related information
Date Initiated by Firm September 07, 2005
Date Posted November 15, 2005
Recall Status1 Terminated 3 on March 30, 2006
Recall Number Z-0132-06
Recall Event ID 33515
510(K)Number K020679  K021923  
Product Classification Test, Time, Prothrombin - Product Code GJS
Product HemoSense brand INRatio Prothombin Time Monitoring System,
Software Version 1.25.21;

Product is distributed by HemoSense, Inc., 651 River Oaks Pkwy., San Jose, CA 95134
Code Information Serial Numbers:   044609678, 051613670, 051613713, 052613997, 052614025, 044810630, 051613674, 051613714, 052613998, 052614026, 044810759, 051613675, 051613721, 052613999, 052614027, 045110807, 051613676, 051613722, 052614000, 052614028, 045110825, 051613679, 051613723, 052614002, 052614029, 051613114, 051613681, 051613730, 052614003, 052614030, 051613119, 051613682, 051613733, 052614004, 052614031, 051613121, 051613683, 051613742, 052614006, 052614032, 051613125, 051613685, 051613745, 052614007, 052614033, 051613127, 051613686, 051613746, 052614008, 052614035, 051613154, 051613687, 051613747, 052614010, 052614040, 051613156, 051613689, 051613748, 052614011, 052614042, 051613164, 051613691, 052613972, 052614012, 052614045, 051613174, 051613693, 052613975, 052614013, 052614049, 051613241, 051613695, 052613978, 052614014, 052614050, 051613247, 051613696, 052613979, 052614015, 052614051, 051613256, 051613697, 052613981, 052614016, 052614060, 051613261, 051613701, 052613984, 052614017, 052614063, 051613655, 051613702, 052613986, 052614018, 052614065, 051613656, 051613704, 052613991, 052614019, 052614072, 051613660, 051613705, 052613992, 052614020, 052614078, 051613661, 051613707, 052613993, 052614021, 052614079 051613662, 051613710, 052613994, 052614022, 052614085, 051613663, 051613711, 052613995, 052614023,  051613665, 051613712, 052613996, 052614024   
Recalling Firm/
Manufacturer
HemoSense Inc
651 River Oaks Pkwy
San Jose CA 95134-1907
Manufacturer Reason
for Recall
A software problem that may cause the INRatio meter to incorrectly display 'INR>7.5' test message under a particular use condition.
FDA Determined
Cause 2
Other
Action On 9/7/05, the firm issued letters via Federal Express and telephone follow-up to all its consignees, informing them of the affected product and providing instructions on the recall.
Quantity in Commerce 123 units
Distribution Product was released for distribution to 20 consignees in US. The recall was appropriately extended to the consumer/user level; i.e., the users who received the recalled product. There were no shipments to U.S. Government facilities or foreign or Canadian distribution.
Total Product Life Cycle TPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = GJS and Original Applicant = HEMOSENSE, INC.
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