| | Class 2 Device Recall ACCI |  |
| Date Initiated by Firm | August 17, 2022 |
| Create Date | September 20, 2022 |
| Recall Status1 |
Terminated 3 on June 12, 2024 |
| Recall Number | Z-1774-2022 |
| Recall Event ID |
90820 |
| 510(K)Number | K191167 |
| Product Classification |
Antigen, invasive fungal pathogens - Product Code NQZ
|
| Product | Fungitell STAT- IVD Assay for (1 3)-~-D-Glucan in Serum
Ref: FT007 |
| Code Information |
UDI-DI: 00862696000227
Lot # FK22008 and Package Control # 113041
Exp. Date: 2023-11-21
|
| FEI Number |
1219145
|
Recalling Firm/ Manufacturer |
Associates of Cape Cod, Inc. 124 Bernard E Saint Jean Drive East Falmouth MA 02536-4445
|
| For Additional Information Contact | SAME 508-540-3444 |
Manufacturer Reason for Recall | Incorrect information on the Fungitell STAT clamshells containing the Fungitell STAT Standard, relates to printed information for reconstitution and pretreatment volumes |
FDA Determined Cause 2 | Employee error |
| Action | Associates of Cape Cod, Inc., issued Urgent Device Correction letter via Email to each distributor or customer on 8/17/22 US and outside the US on 8/18/22. Letter states reason for recall, health risk and action to take:
Actions required from you:
1. Immediately discontinue the use of the Fungitell STAT Lot # FK22008 and Package Control # 113041.
2. Please complete the attached Acknowledgement of Notification form.
a. Include the total number of unused FK22008 kits still in your inventory on the form.
b. Coordinate the return of all unused FK22008 kits following the instructions on the form
The completed form should be forwarded to custservice@acciusa.com
3. Please let us know if an adverse event (other than delayed testing) was associated with the recalled product. If you have any questions or concerns, please contact m:
Josee Roy, Ph.D., Director, Product Development & Person Responsible for Medical Device Regulatory Compliance (508) 685-8249, jroy@acciusa.com.
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| Quantity in Commerce | 243 kits |
| Distribution | Worldwide distribution - US Nationwide distribution in the state of CA and the countries of Austria, France, Germany, India, Ireland, Italy, Spain, UK.
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| Total Product Life Cycle | TPLC Device Report |
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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 = NQZ
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