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U.S. Department of Health and Human Services

Class 2 Device Recall DBB06 Hemodialysis Delivery System

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 Class 2 Device Recall DBB06 Hemodialysis Delivery Systemsee related information
Date Initiated by FirmNovember 24, 2021
Create DateJanuary 05, 2022
Recall Status1 Open3, Classified
Recall NumberZ-0456-2022
Recall Event ID 88641
510(K)NumberK091978 K152938 
Product Classification Dialyzer, high permeability with or without sealed dialysate system - Product Code KDI
ProductDBB-06 Hemodialysis Delivery System
Code Information Model Number: DBB-06; Serial Numbers: J1910861, J1905670, J1905916, J1910971, J1909943, J1909306, J1908111, J1909202, J1907127, J1908023, J1910962, J1910866, J1910028, J1909307, J1907329, J1909853, J1908776, J1908108, J1914585, J1908762, J1909020, J1908872, J1908439, J1908777, J1910867, J1911026, J1907034, J1911033, J1908665, J1909209, J1909705, J1906923, J1911029, J1910870, J1910967, J1911040, J1910499, J1905788, J1910558, J1909689, J1910498, J1909315, J1909662, J1906052, J1910692, J1909412, J1908116, J1910688, J1908582, J1908657, J1909017, J1908281, J1908581, J1909012, J1908660, J1907321, J1907123, J1907317, J1911036, J1905580, J1911354, J1911217, J1907939, J1911035, J1908584, J1911039, J1906050, J1910494, J1909850, J1910560, J1908020, J1908115, J1907932, J1908118, J1910774, J1905789, J1905576, J1909116, J1910489, J1909312, J1908435, J1905791, J1905921, J1910116, J1910027, J1909407, J1909406, J1910491, J1909405, J1909952, J1910495, J1910023, J1909947, J1909945, 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FEI Number 3002807721
Recalling Firm/
Manufacturer		 Nikkiso Ltd - Shizuoka Plant
498 1
Shizutani; Shizuoka-Ken
Makinohara Japan
For Additional Information Contact
81548225801
Manufacturer Reason
for Recall		Device lacks premarket approval.
FDA Determined
Cause 2		Under Investigation by firm
ActionNikkiso notified customers on about 11/24/2021, via letter titled MEDICAL DEVICE RECALL. Customers were instructed that the affected functions have been disabled on affected units and no actions need to be taken. Customers were asked to complete the provided response form and return it to the technical service when they visit each facility to complete the software update. Questions can be directed to the firm at at 901-310-1567 option 1, Monday Friday, 9:00am-5:00pm CST, or by email at CS@nikkisomedical.us
Quantity in Commerce781 units
DistributionDistributed nationwide to NY, MO, WA, CA, and TN.
Total Product Life CycleTPLC 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) Database510(K)s with Product Code = KDI
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