| Date Initiated by Firm | August 28, 2011 |
| Date Posted | January 11, 2012 |
| Recall Status1 |
Terminated 3 on July 11, 2012 |
| Recall Number | Z-0387-2012 |
| Recall Event ID |
59812 |
| 510(K)Number | K023573 |
| Product Classification |
Sleeve, limb, compressible - Product Code JOW
|
| Product | ActiveCare DVT
Medical Compression Systems
OR Aqiva, IL
Intended for use in: Preventing deep Vein Thrombosis; Enhancing blood circulation; Diminishing post-operative pain and swelling; Reducing wound healing time; treatment and assistance in healing of stasis dermatitis, venous stasis ulcers and diabetic leg ulcers; Treatment of chronic venous insufficiency and; Reducing edema |
| Code Information |
Device Catalog Number A502B-0001-02 and H502B-0001-07 |
Recalling Firm/ Manufacturer |
Medical Compression Systems 2 Hallan St OR Aqiva Israel
|
| For Additional Information Contact | Mr. Charlie Harrison 404-229-1499 |
Manufacturer Reason for Recall | This voluntary field action is being undertaken because MCS has received a limited number of reports involving the use of a non-MCS AC/DC adaptor with the ActiveCare DVT and ActiveCare+S.F.T. devices. The firm found that an ActiveCare DVT device may work improperly if connected to a non-MCS AC/DC adaptor with a higher nominal voltage. As specified in each product's User Manual, the ActiveCare DVT |
FDA Determined Cause 2 | Device Design |
| Action | Medical Compression Systems (DBN) Ltd, sent out "VOLUNTARY FIELD ACTION" letters dated September 15, 2011 to all affected customers. The letter included description of the device and problem. Customers were instructed to check their inventory and make a list of serial numbers of all applicable ActiveCare+S.F.T. and ActiveCare DVT devices in their inventory, include the list on the attached excel file (Field Action Verification Form) and email to maya@mcsmed.com; even if they do not have any such devices. The letter also states that within 15 days from the email, they will receive instructions for the next steps.
In addition, the letter stated -YOU MAY CONTINUE TO USE THE ActiveCare+S.F.T. DEVICES WHILE AWAITINGTHE INSTALLATION OF THE OVP.
In case you have questions or you need any assistance, you can contact the firm at (317) 485-7887 or e-mail to: maya@mcsmed.com or mahlet@mcsmed.com. |
| Quantity in Commerce | 2217 units |
| Distribution | Nationwide distribution. |
| 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.
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| 510(K) Database | 510(K)s with Product Code = JOW
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