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U.S. Department of Health and Human Services

Enforcement Report - Week of September 19, 2012

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Event Detail

Event ID 62321
Product Type Devices
Status Ongoing
Recalling Firm Terumo Cardiovascular Systems Corporation
City Ann Arbor
State MI
Country US
Voluntary/Mandated Voluntary: Firm Initiated
Recall Initiation Date 2009-08-12
Initial Firm Notification of
Consignee or Public
Distribution Pattern Worldwide distribution: International only-country of: Terumo Dubai, UAE

Product Detail

Product Description Code Info Classification Reason for Recall Product Quantity Recall Number
Safety monitor included with System 8000 Base The Sarns" Modular Perfusion System 8000 is indicated for use for up to 6 hours on the extracorporeal circulation of blood for arterial perfusion, regional perfusion, and cardiopulmonary bypass procedures, when used by a qualified medical professional who is experienced in the operation of this or similar equipment. The safety monitor is indicated to warn when the blood level in the reservoir reaches the operator-set limit, and to stop the arterial and cardioplegia pumps. catalog number 16404 and serial numbers: 4357, 4381, 4386, 4387, 4389, 4391, and 4392. Class II Terumo Cardiovascular Systems (Terumo CVS) received complaints from our Affiliate, Terumo Dubai that the safety monitors were tripping off. Terumo CVS' investigation determined that 8 monitors were manufactured with an underrated circuit breaker due to an error where an associate pulled an underrated circuit breaker from an incorrect inventory location. Since this time, inventory locations have been adjusted to avoid mix-ups of different current rated circuit breaker. Terumo CVS implemented a requirement to ensure that assembly associates verify the values of electrical components in process to avoid such mix ups. At the time the problem was discovered, an NCR was opened to document that all remaining inventory at Terumo CVS had the correct circuit breaker installed. All Safety Monitors at Terumo CVS were verified to have the correct circuit breaker. Terumo CVS received complaints in 2009, at which time corrective action was completed for devices in the field. These corrections were not reported to the agency at that time. 8 Z-2348-2012