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U.S. Department of Health and Human Services

Class 2 Device Recall TANGO3 Water Storage Tank with Ozone Disinfection System

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  Class 2 Device Recall TANGO3 Water Storage Tank with Ozone Disinfection System see related information
Date Initiated by Firm March 26, 2012
Date Posted August 03, 2012
Recall Status1 Terminated 3 on March 01, 2013
Recall Number Z-2138-2012
Recall Event ID 62514
510(K)Number K093641  
Product Classification Tank, holding, dialysis - Product Code FIN
Product TANGO3 Water Storage Tank with Ozone Disinfection System, Tango3, LLC, 132 Citizens Blvd., Simpsonville, KY 40067. Models are WOZ-250-PE, WOZ-240-SS, WOZ-180-SS. The TANGO3 Water Storage Tank with Ozone Disinfection System is intended to be used for disinfection of the water distribution system of a dialysis facility.
Code Information Model WOZ -250-PE, Serial #s: 1031, 1032, 1033, 1035, 1036, 1038, 1039, 1042, 1043, 1044, 1045, 1046, 1047, 1048, 1049, 1050, 1051, 1053, 1054, 1055, 1056, 1057, 1058, 1059, 1060, 1061, 1062, 1063, 1065, 1066, 1067, 1068, 1069, 1070, 1071, 1072, 1073, 1074, 1075, 1076 & 1077. Model WOZ-180-SS, Serial #s: 1034, 1037, 1040 & 1064. Model WOZ-240-SS, Serial #s: 1041 & 1052. 
Recalling Firm/
Manufacturer		 Tango3 LLC
132 Citizens Blvd
Simpsonville KY 40067-6547
For Additional Information Contact Hubert D. Doss
502-722-5615
Manufacturer Reason
for Recall		 During an FDA inspection, the firm was notified of Quality System deficiencies, which included lack of procedures for design control and customized modifications that were either not reviewed or received proper clearance from FDA. There was no assurance that all systems in the field were working properly and operating at a minimum of 0.2ppm of ozone.
FDA Determined
Cause 2		 Process control
Action On 3/26/2012, the firm sent "Urgent: Customer Notification" letters and Acknowledgement Forms to their customers. The issue was described and recommended actions were provided. Customers were given the number 866-782-7286 to call if questions.
Quantity in Commerce 44 units
Distribution Product was shipped to the following states: CA, CO, CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, MA, MD, ME, NH, NJ, NM, OH, PA, RI, TX and VA.
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 = FIN and Original Applicant = TANGO3, LLC
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