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Class 2 Device Recall Terumo Advanced Perfusion System 1 Flow Module |
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Date Initiated by Firm |
January 19, 2018 |
Create Date |
April 20, 2018 |
Recall Status1 |
Terminated 3 on July 18, 2018 |
Recall Number |
Z-1478-2018 |
Recall Event ID |
79624 |
510(K)Number |
K172220
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Product Classification |
Console, heart-lung machine, cardiopulmonary bypass - Product Code DTQ
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Product |
Flowmeter Module (accessory to Terumo Advanced Perfusion System 1).
Provides the interface between the flow sensor and the system. |
Code Information |
Catalog # - 802018 Serial #: 01662, 01672, 01680, 01681,01682, 01683 , and 01687. UDI: 00886799000687. |
Recalling Firm/ Manufacturer |
Terumo Cardiovascular Systems Corporation 6200 Jackson Rd Ann Arbor MI 48103-9586
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For Additional Information Contact |
Mary Swift 734-741-6056
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Manufacturer Reason for Recall |
Inaccurrate flow readings. Depending on the degree of inaccuracy, this issue may not be easy for the user to detect during setup or use (for example, following a Flow Probe relocation or manipulation).
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FDA Determined Cause 2 |
Employee error |
Action |
The firm notified customers via phone alerting them of this affected device, issue, potential hazard, correction, and instructions. The communication also included scheduling an expedited service call for a Field Service Technician to replace the affected Flowmeter Module with a corrected Flowmeter Module. When necessary to avoid delaying or cancelling life-sustaining surgery, users can continue to use the Flowmeter Module while awaiting replacement. Once the issue is recognized by the user, if a replacement Flowmeter Module is available, replacement and reassignment of safety connections of the Flowmeter Module can be accomplished in less than 15 seconds. In the event that a replacement Flowmeter Module is not available, a less common mitigation is the use of a back-up stand-alone centrifugal pump or a stand-alone ultrasonic flowmeter system to provide flow data. Customers should receive a copy of the Urgent Medical Device Recall phone script by e-mail along with a Customer Response Form. The e-mail should be reviewed, and the form completed and returned as indicated. Questions or concerns can be directed Terumo CVS Customer Service at 1-800-521-2818. |
Quantity in Commerce |
7 |
Distribution |
Worldwide Distribution -- USA, including the states of IL, KY, and MI; and, the country of Singapore. |
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 = DTQ and Original Applicant = Terumo Cardiovascular Systems Corporation
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