| | Class 2 Device Recall Medistim MiraQ System |  |
| Date Initiated by Firm | September 26, 2025 |
| Date Posted | October 29, 2025 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-0410-2026 |
| Recall Event ID |
97707 |
| 510(K)Number | K102595 |
| Product Classification |
Flowmeter, blood, cardiovascular - Product Code DPW
|
| Product | Brand Name: Medistim MiraQ System
Product Name: Medistim MiraQ System
Model/Catalog Number: MQC04001, MQC14001, MQU14011, MQV12011
Software Version: Not applicable
Product Description: Ultrasound device for intraoperative use
Component: No |
| Code Information |
Lot Code: Serial number; Model number
5042; MQC04001
5043; MQC04001
5044; MQC14001
5061; MQU14011
5062; MQU14011
5064; MQU14011
5065; MQU14011
5066; MQU14011
5067; MQC04001
5037; MQU14011
5073; MQV12011
5038; MQU14011
5045; MQU14011
5063; MQU14011
|
| FEI Number |
3010790133
|
Recalling Firm/ Manufacturer |
Medistim Asa Okernveien 94 Oslo Norway
|
| For Additional Information Contact | Kari Krogstad +47 23 05 96 60 |
Manufacturer Reason for Recall | Printer Support Module (PSM) may be subject to insufficient soldering, which may cause loosening of the wires and system to shut down. Affected devices need to have their Printer Support Modules replaced. |
FDA Determined Cause 2 | Process control |
| Action | Firm notified impacted consignees by email on September 26, 2025. Consignees were informed that qualified service personnel will perform the correction of the device according to the standard service procedure. |
| Quantity in Commerce | 14 |
| Distribution | Domestic distribution to CO, MI, MN, TN, TX. International distribution to Australia, Austria, Germany, Finland, India, Japan, Russia, China, Saudi Arabia. |
| 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.
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| 510(K) Database | 510(K)s with Product Code = DPW
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