| Date Initiated by Firm | May 16, 2024 |
| Date Posted | June 13, 2024 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-2141-2024 |
| Recall Event ID |
94676 |
| 510(K)Number | K143617 |
| Product Classification |
Subsystem, water purification - Product Code FIP
|
| Product | US AquaA 900H-Typ USA-3 x 208v-Intended for the purification of water to be used for hemodialysis
Vivonic Part Numbers: G02020110
Fresenius Part Number: 24-090A-1 |
| Code Information |
UDI-DI: 04251285200357
Serial Numbers:
2AAV0003
2AAV0029
2AAV0037
3AAV0087 |
Recalling Firm/ Manufacturer |
Fresenius Medical Care Holdings, Inc. 920 Winter St Bld 920 Waltham MA 02451-1521
|
| For Additional Information Contact | Fresenius Medical Care Technical Service 800-227-2572 Ext. 4 |
Manufacturer Reason for Recall | Concentrate Flow was exceeding the maximum 19.9 bar set point. The standard default set point range is between 4 and 18.Error message (F020104, "concentrate pressure alarm limit exceeded") concentrate pressure is too high and stops the dialysis water supply. |
FDA Determined Cause 2 | Process control |
| Action | Fresenius Medical issued Urgent Medical Device Correction letter on 5-16-2024.
Letter states reason for recall, health risk and action to take:
A Fresenius Medical Care Water Systems Service Specialist will be contacting you to schedule an evaluation of your Water Treatment system and provide feedback on your system. For questions or concerns, please contact Fresenius Medical Care Technical Services at 800-227-2572, OPTION 4.
" Please provide this letter to your Biomedical Technician
" Report any complaints or adverse events to product.complaints@fmc-na.com or FDA MedWatchathttps://www.fda.gov/safety/medical-product-safety-information/medwatch-forms-fda-safety-reporting.
" Provide this Customer Notice to all those who need to be aware within your organization.
" Complete and return the attached reply form.
|
| Quantity in Commerce | 4 units |
| Distribution | US Nationwide distribution in the states of AL, IN, AK, WI.
|
| 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.
|
| 510(K) Database | 510(K)s with Product Code = FIP
|