Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1513-2015Class II

CSA Medical truFreeze Console- Cryosurgical Unit Cryogenic Surgical Device Model: CC3-01

CSA Medical / initiated 2015-03-25 / Terminated / root cause: software

CSA Medical began a recall of CSA Medical truFreeze Console- Cryosurgical Unit Cryogenic Surgical Device Model: CC3-01 on . FDA classified it as Class II and gives the reason as "TruFreeze Console caused a higher rate of liquid nitrogen (cryogen) to be delivered and may cause: stricture,scarring, bradycardia, or pneumothorax". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-1513-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
CSA Medical
Product
CSA Medical truFreeze Console- Cryosurgical Unit Cryogenic Surgical Device Model: CC3-01
Product code
GEH Unit, Cryosurgical, Accessories
Reason for recall
TruFreeze Console caused a higher rate of liquid nitrogen (cryogen) to be delivered and may cause: stricture,scarring, bradycardia, or pneumothorax
Root cause tag
software
FDA root cause
Software design
Action
CSA Medical issued letter dated 3/25/15 advising users of the problem. Users provided with: The mitigations available to the active venting procedures coupled with the extremely unlikely probability of injury, rare risk, thus allowing the physician to continue with active venting procedures. In regards a passive venting procedure may not have sufficient mitigation to allow the physician to identify the potential hazard with sufficient time to preclude a potential for injury. Therefore, passive users will be instructed not to use the system until a software improvement is put into place. Additionally, no catheters or consoles will be shipped to passive venting users of truFreeze. A response form to be signed and returned confirming receipt of the notification.Questions contact: Stephen Mascioli, MD 781-538-4755 [email protected].
Quantity in commerce
82 units
Distribution
Nationwide
Product codes and lots
Serial Numbers:  01-00106 through 01-00201

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1513-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1513-2015Class IITerminatedVoluntary: Firm initiated