Medical Device
Manufacturing
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Z-1855-2014Class II

NxStage Dialysate Sack (SAK) with Concentrate for Use with PureFlow SL REF: SAK-302 Lactate , 40, Potassium...

NxStage Medical Inc / initiated 2014-05-14 / Terminated / root cause: manufacturing process

NxStage Medical, Inc. began a recall of NxStage Dialysate Sack (SAK) with Concentrate for Use with PureFlow SL REF: SAK-302 Lactate , 40, Potassium 1, Sodium 140, Calcium 3, Magnesium 1, Chloride... on . FDA classified it as Class II and gives the reason as "SAK Dialysate Concentrate contain aluminum levels which exceed internal product specification". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-1855-2014
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
NxStage Medical Inc
Product
NxStage Dialysate Sack (SAK) with Concentrate for Use with PureFlow SL REF: SAK-302 Lactate , 40, Potassium 1, Sodium 140, Calcium 3, Magnesium 1, Chloride 105, Glucose (mg/dL) 100, Batch Size (liters): 60 The SAK is one of the disposables used with NxStage PureFlow SL Dialysate Preparation System. The SAK is a disposable bag pre-filled with dialysate concentrate that is then filled with purified water prepared by NxStage PureFlow SL Dialysate Preparation System to prepare a batch of dialysate for use with the NxStage System One. SAKs are packaged in a case containing two SAKs. SAK product SKUs vary in the dialysate concentrate and volume of the final dialysate batch.
Product code
FKR Subsystem, Proportioning
Reason for recall
SAK Dialysate Concentrate contain aluminum levels which exceed internal product specification
Root cause tag
manufacturing process
FDA root cause
Material/Component Contamination
Action
NxStage issued Initial recall letter dated 5/14/14 to dialysis centers. An error was noted and an updated letter dated 5/15/14 was resent to dialysis centers. The updated 5/15/14 letter was emailed to all current active PureFlow SL patients who had provided an email address followed by UPS next business day letter sent to all current active PureFlow SL patients. Accounts are requested to examine inventory and remove product. Contact NxStage Customer Service to arrange for return of all affected product and for replacement product to be sent. If you have any questions or comments, please feel free to contact NxStage Customer Service at 1-866-NXSTAGE (1-866-697-8243).
Quantity in commerce
19423 cases
Distribution
Worldwide Distribution - USA (nationwide) and Internationally to France, Netherlands, Spain, Sweden, and the UK.
Product codes and lots
Lot codes: 40179127  40179107  40179109  40179105  40179093  40179034 31279120  31279118  3057921  3057920  3057915  3057914  3057906  3057905 3047924 3047923

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1855-2014
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1854-2014Class IITerminatedVoluntary: Firm initiated
Z-1855-2014Class IITerminatedVoluntary: Firm initiated
Z-1856-2014Class IITerminatedVoluntary: Firm initiated
Z-1857-2014Class IITerminatedVoluntary: Firm initiated
Z-1858-2014Class IITerminatedVoluntary: Firm initiated
Z-1859-2014Class IITerminatedVoluntary: Firm initiated
Z-1860-2014Class IITerminatedVoluntary: Firm initiated
Z-1861-2014Class IITerminatedVoluntary: Firm initiated