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U.S. Department of Health and Human Services

Class 2 Device Recall Masimo LNCS TCI SpO2, Ref: 1895

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  Class 2 Device Recall Masimo LNCS TCI SpO2, Ref: 1895 see related information
Date Initiated by Firm April 21, 2023
Date Posted June 21, 2023
Recall Status1 Open3, Classified
Recall Number Z-1985-2023
Recall Event ID 92371
510(K)Number K051212  
Product Classification Oximeter - Product Code DQA
Product Masimo LNCS TC-I SpO2, Reusable Ear Sensor, REF: 1895
Code Information UDI-DI: (01)00843997000048 Lot #: 13NBR, 13NBS, 14B96, 14CWW, 14GFV, 14JFW, 14KYQ, 14N03, 15C01, 15EBB, 15HNT, 17DCG, 17DCH,17DCJ, 17DYJ, 17DYK, 17E83, 17E84, 17FAL, 17FAM, 17GER, 17GNT, 17HAV, 17HLA, 17HLB, 17HZD, 17J08,17J09, 17JRE, 17KBQ, 17KBR, 17MDD, 17MDE, 17MPD, 17N06, 17N07, 17NFD, 18A26, 18A27, 18B99, 18BAA, 18CCT, 18CWV, 18CYG, 18DCB, 18EEC, 18ENJ, 18FAG, 18G1V, 18GND, 18GUC, 18H3N, 18HVP, 18J32, 18JPJ, 18JVL, 18K47, 18K52, 18M01, 18M02, 18NAE, 19AAA, 19AHL, 19B2G, 19BFC, 19CAB, 19CAC, 19CUX, 19D83, 19DGK, 19DVR, 19EAJ, 19EAK, 19EVJ, 19F43, 19FUY, 19GCV, 19GSX, 19GZX, 19JEE, 19JVK, 19K42, 19K4V, 19KAM, 19KQB, 19M09, 19M11, 19M2V, 19NDD, 20A4H, 20ABN, 20BBT, 20BKJ, 20BWP, 20C74, 20CRU, 20DAK, 20EQM, 20F49, 20FPD, 20G31, 20G8F, 20HFV, 20HRK, 20J5J, 20JLT, 20K2C, 20KGW, 20KQS, 20MJX, 20MST, 20NGB, 20NGD, 20NUT, 21AGX, 21AXQ, 21BJG, 21BVK, 21CMG, 21DFN, 21EFA, 21EMS, 21EXD, 21EYU, 21F6J, 21FFZ, 21FUH, 21GFE, 21H2M, 21HCT, 21HUC, 21HWH, 21JDQ, 21K4B, 21KGZ, 21MUT, 21MWW, 21NEB, 21NLV, 21NZA, 22ADM, 22BVR, 22CJE, 22CJN, 22CSZ, 22CYA, 22DBL, 22DMJ, 22DSG, 22E72, 22E91, 22EGL, 22EQD, 22EZD, 22F75, 22FHH, 22G2E, 22G68, 22GTT, 22HKY, 22HSC, 22JGD, 22JGE, 22K4N, 22K4P, 22KJM, 22KMJ, 22M7N, 22MCX, 22MZS, 22N6Y, 22N9L, 22NGX, 22NRV, 23AEY, 23AJH, 23BEK, 23BRZ, 23BSS, 23CER, E19DLJ, E20CLS, E20FNS, E20FNT, E20H1G, E20HGW, E21DYY, E21G7M, K16AER, K16DDY, K16GFA, K16JDS, K16KFD, K16KFE, K16NFF,K16NFG,K17AEV, K17AEW, K17B2G, K17BCP, K17BUY, K17CFJ, K17CFK, K17CFM, K17CFN
Recalling Firm/
Manufacturer		 Masimo Corporation
52 Discovery
Irvine CA 92618-3105
For Additional Information Contact Masimo Technical Services
949-297-7575
Manufacturer Reason
for Recall		 TC-I tip clip sensor may produce readings outside the accuracy specification.
FDA Determined
Cause 2		 Nonconforming Material/Component
Action On 5/17/2023, Masimo issued a Urgent: Medical Device Recall Notice via FedEx. Masimo asked consignees to take the following actions: 1. Contact Masimo Technical Services to request return of the affected part and lot number(s) for replacements and/ or if you have part numbers or lot numbers not included in this communication and have questions about those parts. 2. Masimo s Technical Services is available Monday through Friday 6:00am -5:00pm PST for live assistance or 24 hours a day to leave a message and someone will contact you. Local contact information can be found at http://service.masimo.com. 3. Complete Attachment 1, then email it to CustomerNotice@masimo.com, or Fax it to 1-949-297-7575 by MM DD, 2023. 4. Any adverse reaction or quality problems experienced with the use of this product may be reported to the FDA s MedWatch Adverse Event Reporting program online, by regular mail or by fax.
Quantity in Commerce 443,799 units
Distribution US: AK , AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY OUS: Argentina, Australia, Austria, Belgium, Bermuda, Brazil, Canada, Chile, China, Colombia, Costa Rica, Croatia, Czech Republic, Denmark, Ecuador, Finland, France, Germany, Gibraltar, Guernsey, Hong Kong, Hungary, Iceland, India, Israel, Italy, Japan, Jersey, Jordan, Kenya, Lebanon, Malaysia, Malta, Mexico, Morocco, Netherlands, New Zealand, Norway, Oman, Palestinian Territory, Poland, Portugal, Puerto Rico, Qatar, Russian Federation, Saudi Arabia, Singapore, Slovakia, Slovenia, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, United Arab Emirates, United Kingdom, Vietnam.
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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
510(K) Database 510(K)s with Product Code = DQA and Original Applicant = MASIMO CORPORATION
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