| Class 1 Device Recall Distal Phasitron Kit, part S20020 | |
Date Initiated by Firm | March 28, 2023 |
Date Posted | January 17, 2024 |
Recall Status1 |
Open3, Classified |
Recall Number | Z-0693-2024 |
Recall Event ID |
93648 |
510(K)Number | K905235 |
Product Classification |
Ventilator, continuous, facility use - Product Code CBK
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Product | Distal Phasitron, Part: S20020, for use with Percussionaire VDR-4 control driver (or control unit) |
Code Information |
UDI-DI: 00849436000693, Lots/Expiration: WO03739/September 13, 2024, and WO04218/November 14, 2024. |
Recalling Firm/ Manufacturer |
Percussionaire Corporation 130 Mcghee Rd Ste 109 Sandpoint ID 83864-8409
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For Additional Information Contact | 208-263-2549 |
Manufacturer Reason for Recall | Breathing circuit reservoir bag may be assembled at the wrong attachment point, which will result in less than optimal therapy. |
FDA Determined Cause 2 | Process control |
Action | On 3/28/23, correction notices were emailed to customers who were asked to remove and switch the reservoir bag to the proper location.
On 1/24/24, follow-up correction notices were sent to customers who were asked to do the following:
1) Review your inventory, and if affected devices are identified, ensure the reservoir bag is in the proper location.
2) If affected devices were further distributed, send a copy of this notice to your customers.
3) Complete and return the Effectiveness Check Questionnaire via email to customerservice.us@sentec.com
If you have any questions, contact the firm's Customer Service at customerservice.us@sentec.com or by phone at (208)- 263- 2549 Monday - Friday from 7 AM to 3:30 PM (PST). Additional information for contact information can be found at www.sentec.com/contact
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Quantity in Commerce | 195 |
Distribution | US: RI, CA, TX |
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 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 = CBK
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