Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0272-2013Class II

S5 Double Roller Pump 85, Item Number: 10-85-00 The Stockert S5/Sorin C5 System is intended to be used during...

LivaNova USA, Inc. / initiated 2012-09-19 / Terminated

Sorin Group USA, Inc. began a recall of S5 Double Roller Pump 85, Item Number: 10-85-00 The Stockert S5/Sorin C5 System is intended to be used during cardiopulmonary bypass for procedures lasting six... on . FDA classified it as Class II and gives the reason as "Sorin Group USA, Inc. has issued an Urgent Field Safety Notice regarding certain serial numbers of the Sorin Group S5 Perfusion System due to reports of a "Fault in motor controller" alarm message displayed on the...". As of , the recall status on record is Terminated.

Recall record

Recall number
Z-0272-2013
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
LivaNova USA, Inc.
Product
S5 Double Roller Pump 85, Item Number: 10-85-00 The Stockert S5/Sorin C5 System is intended to be used during cardiopulmonary bypass for procedures lasting six hours or less.
Product code
DTQ Console, Heart-Lung Machine, Cardiopulmonary Bypass
Reason for recall
Sorin Group USA, Inc. has issued an Urgent Field Safety Notice regarding certain serial numbers of the Sorin Group S5 Perfusion System due to reports of a "Fault in motor controller" alarm message displayed on the system panel. This could lead to unintended pump stoppage which may result in permanent impairment or life-threatening injury. An out of specification electrical component was determin
FDA root cause
Mixed-up of materials/components
Action
The firm, Sorin Group, sent an "URGENT FIELD SAFETY NOTICE" dated September 19, 2012 to all affected customers by certified mail. The notice described the product, problem and actions to be taken. The customers were instructed to follow the provided instructions for the continued safe use of the Perfusion systems until they have been serviced or replaced by Sorin Group. The Sorin Group Service Team will contact the customer to schedule servicing and replacement of the affected product. The customers were also instructed to complete and return the Customer Response Form via fax to 303-467-6502 or by email to [email protected]; assure this notice is distributed to all personnel who need to be aware of this notice; and if they have transferred the affected products to a third party, pass this information with them as well as with Sorin Group Customer Service at 1-800-650-2623. For questions regarding this notice, contact Sorin Group USA Customer Service at 1-800-650-2623.
Quantity in commerce
5 units
Distribution
Worldwide distribution: USA (nationwide) including states of: AZ, GA, MI, MS, NC, NY, PA, SC, and TX; and countries of: Austria, Australia, Belgium, Canada, People's Republic of China, Columbia, Denmark, Finland, Germany, India, Iran-Islamic Republic of, Ireland, Japan, Lebanon, Morocco, Pakistan, Poland, Russian Federation, Saudia Arabia, Spain, South Africa, Thailand, Turkey and United Kingdom.
Product codes and lots
Serial Numbers: 10E51854,10E51856-10E51858, 10E51860, 10E51861, 10E51864, 10E51867, 10E51870, 10E51871, 10E51873, 10E51880-10E51897, 10E51899-10E51913.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0272-2013
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0271-2013Class IITerminatedVoluntary: Firm initiated
Z-0272-2013Class IITerminatedVoluntary: Firm initiated
Z-0273-2013Class IITerminatedVoluntary: Firm initiated
Z-0274-2013Class IITerminatedVoluntary: Firm initiated
Z-0275-2013Class IITerminatedVoluntary: Firm initiated