Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0279-2013Class II

Tested AC Control BD, 120V, X2 The Terumo HX2 Temperature Management System is a selfcontained, dual channel...

Terumo Cardiovascular Systems Corporation / initiated 2012-10-16 / Terminated / root cause: manufacturing process

Terumo Cardiovascular Systems Corporation began a recall of Tested AC Control BD, 120V, X2 The Terumo HX2 Temperature Management System is a selfcontained, dual channel system for supplying temperature controlled water... on . FDA classified it as Class II and gives the reason as "Based on a retrospective review of quality data, AC Control boards used in the manufacture of the HX2 Temperature Management System were identified as being manufactured using the incorrect flux material. Use of the...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0279-2013
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Terumo Cardiovascular Systems Corporation
Product
Tested AC Control BD, 120V, X2 The Terumo HX2 Temperature Management System is a selfcontained, dual channel system for supplying temperature controlled water to heat exchangers used in an extracorporeal circuit.
Product code
DWC Controller, Temperature, Cardiopulmonary Bypass
Reason for recall
Based on a retrospective review of quality data, AC Control boards used in the manufacture of the HX2 Temperature Management System were identified as being manufactured using the incorrect flux material. Use of the incorrect flux may contribute to premature board failure. A search of TCVS complaints revealed 3 complaints received related to the HX2 failure. Each failure occurred during set up
Root cause tag
manufacturing process
FDA root cause
Nonconforming Material/Component
Action
TERUMO sent an Urgent Medical Device Recall letter dated October 15, 2012, to all affected customers. The letter identified the product, the problem, and the action to be taken by the customer. Terumo has determined that a field correction is required to notify affected customers that the boards may fail, instruct the users that in a case of failure to swich to the second channel on the device or use a back-up unit, and that TCVS will replace the affected boards. Customers with questions were instructed to call 1-800-621-2818. For questions regarding this recall call 734-741-6173.
Quantity in commerce
15 units
Distribution
Nationwide Distribution including CA, HI, KS, LA, MI, MO, OR, PA, UT, and WI
Product codes and lots
Catalog number: 817168 and serial numbers: 824POOO023, 831 P001130, 831 P001133, 831 P001136, 831 P001140, 831 POO1141 , 831 P001144, 831 P001145, 831 P001146, 831 P001149, 831 P001151, 831 P001159, 831P001161, 831P001164, and 836POOOO05.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0279-2013
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0278-2013Class IITerminatedVoluntary: Firm initiated
Z-0279-2013Class IITerminatedVoluntary: Firm initiated