Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1209-2019Class II

Fresenius Kabi CATSmart device (Continuous autotransfusion System). Labeled as the following kits: 1. AT-1...

Fenwal Inc / initiated 2019-03-05 / Terminated / root cause: design

Fenwal Inc began a recall of Fresenius Kabi CATSmart device (Continuous autotransfusion System). Labeled as the following kits: 1. AT-1 sets and kits (9005104 AT-1 Autotransfusion set... on . FDA classified it as Class II and gives the reason as "Based on internal investigations, Fresenius Kabi has identified a multifaceted set of events involving the CATSmart Systems, including the device, software, and disposable which may result in the centrifuge tubing line...". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-1209-2019
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Fenwal Inc
Product
Fresenius Kabi CATSmart device (Continuous autotransfusion System). Labeled as the following kits: 1. AT-1 sets and kits (9005104 AT-1 Autotransfusion set, 9108504 ATF 120 Fast Start Kit, and 9108494 ATF 40 Fast Start Kits); 2. AT-3 Autotransfusion sets and kits (Part 9005444 AT-3 set, 9104444 ATF-120 Fast Start Kits (AT-3), or 9108444 ATF-40 Fast Start Kits AT-3) Product Usage: The Fresenius Kabi CATSmart device (Continuous auto transfusion System) is indicated for the processing of autologous shed blood collected interaoperatively and postoperatively to obtain washed packed red blood cells for reinfusion. The CATSmart Auto transfusion System is designed to reduce the need for allogeneic blood transfusion by re-infusing a patient s own lost blood during surgery. The set is used as a disposable component of the autotransfusion system during surgery and/or treatment of trauma to remove waste and improve the safety of autologous re-infused blood (auto transfusion). This is a single-use device.
Product code
CAC Apparatus, Autotransfusion
Reason for recall
Based on internal investigations, Fresenius Kabi has identified a multifaceted set of events involving the CATSmart Systems, including the device, software, and disposable which may result in the centrifuge tubing line making contact with the washing chamber. The contact may result in excessive wear of the centrifuge tubing or in extreme cases a puncture of the tubing.
Root cause tag
design
FDA root cause
Device Design
Action
The initial distributor was notified by Fresenius Kabi on 03/05/2019, who provided their distribution list. Fresenius Kabi notified those customers on about 03/11/2019 via "IMPORTANT - CATSmart Software Upgrade and AT-1 sets used on CATSmart" letter. Customers were instructed that Fresenius Kabi will be implementing a software changed to improve priming acceleration. As an interim solution, Fresenius Kabi instructed that CATSmart users should switch to using AT-3 Autotransfusion sets and kits: Part 9005444 AT-3 set, 9104444 ATF-120 Fast Start Kits (AT-3), or 9108444 ATF-40 Fast Start Kits (AT-3). Additionally customers were requested to complete and return the Customer Reply Form. Customers will be contacted by a Fresenius Kabi service representative to schedule a service appointment for updating the software. They anticipate changing the software by October 1, 2019. Questions can be directed to Fresneius Kabi at 800-333-6925.
Quantity in commerce
342 devices
Distribution
Worldwide distribution - US nationwide in the states of AL, AZ, CA, CO, FL, GA, HI, ID, IL, IN, LA, MA, MI, MN, MO, MS, NC, ND, NE, NJ, NV, NY, OH, OK, OR, PA, SC, TN, TX, VA, WA, WI, and PR, and country of Canada.
Product codes and lots
Product Code: 9005901; Lot Numbers beginning with GM or H. Serial Numbers: 6CTA0209, 6CTA0210, 6CTA0211, 6CTA0212, 6CTA0213, 6CTA0214, 6CTA0215, 6CTA0216, 6CTA0217, 6CTA0218, 6CTA0219, 6CTA0221, 6CTA0222, 6CTA0223, 6CTA0224, 6CTA0225, 6CTA0226, 6CTA0227, 6CTA0228, 6CTA0260, 6CTA0261, 6CTA0262, 6CTA0263, 6CTA0264, 6CTA0265, 6CTA0266, 6CTA0267, 6CTA0268, 6CTA0269, 6CTA0300, 6CTA0301, 6CTA0302, 6CTA0303, 6CTA0304, 6CTA0305, 6CTA0306, 6CTA0307, 6CTA0308, 6CTA0309, 7CTA0328, 7CTA0329, 7CTA0330, 7CTA0331, 7CTA0332, 7CTA0334, 7CTA0335, 7CTA0336, 7CTA0337, 7CTA0358, 7CTA0359, 7CTA0360, 7CTA0361, 7CTA0362, 7CTA0363, 7CTA0364, 7CTA0365, 7CTA0366, 7CTA0367, 7CTA0368, 7CTA0369, 7CTA0370, 7CTA0371, 7CTA0372, 7CTA0373, 7CTA0374, 7CTA0375, 7CTA0376, 7CTA0377, 7CTA0378, 7CTA0379, 7CTA0380, 7CTA0381, 7CTA0392, 7CTA0393, 7CTA0394, 7CTA0395, 7CTA0396, 7CTA0397, 7CTA0398, 7CTA0399, 7CTA0401, 7CTA0402, 7CTA0403, 7CTA0404, 7CTA0405, 7CTA0406, 7CTA0409, 7CTA0410, 7CTA0411, 7CTA0412, 7CTA0413, 7CTA0414, 7CTA0433, 7CTA0434, 7CTA0435, 7CTA0436, 7CTA0437, 7CTA0438, 7CTA0439, 7CTA0440, 7CTA0472, 7CTA0473, 7CTA0474, 7CTA0475, 7CTA0476, 7CTA0477, 7CTA0478, 7CTA0479, 7CTA0480, 7CTA0481, 7CTA0482, 7CTA0483, 7CTA0484, 7CTA0485, 7CTA0486, 7CTA0487, 7CTA0488, 7CTA0489, 7CTA0509, 7CTA0510, 7CTA0511, 7CTA0512, 7CTA0513, 7CTA0514, 7CTA0515, 7CTA0516, 7CTA0517, 7CTA0518, 7CTA0519, 7CTA0520, 7CTA0521, 7CTA0522, 7CTA0523, 7CTA0548, 7CTA0549, 7CTA0550, 7CTA0551, 7CTA0552, 7CTA0553, 7CTA0554, 7CTA0556, 7CTA0557, 7CTA0558, 7CTA0580, 7CTA0581, 7CTA0582, 7CTA0583, 7CTA0584, 7CTA0585, 7CTA0586, 7CTA0587, 7CTA0588, 7CTA0589, 7CTA0590, 7CTA0591, 7CTA0647, 7CTA0648, 7CTA0649, 7CTA0650, 7CTA0651, 7CTA0652, 7CTA0653, 7CTA0654, 7CTA0655, 7CTA0656, 7CTA0657, 7CTA0658, 7CTA0659, 7CTA0660, 7CTA0661, 7CTA0662, 7CTA0663, 7CTA0664, 7CTA0665, 7CTA0666, 7CTA0687, 7CTA0688, 7CTA0689, 7CTA0690, 7CTA0691, 7CTA0692, 7CTA0696, 7CTA0697, 7CTA0698, 7CTA0699, 7CTA0700, 7CTA0701, 7CTA0702, 7CTA0715, 7CTA0716, 7CTA0717, 7CTA0719, 7CTA0720, 7CTA0721, 7CTA0722, 7CTA0723, 7CTA0724, 7CTA0735, 7CTA0736, 7CTA0737, 7CTA0738, 7CTA0739, 7CTA0740, 8CTA0741, 8CTA0742, 8CTA0748, 8CTA0749, 8CTA0754, 8CTA0911, 8CTA0912, 8CTA0913, 8CTA0914, 8CTA0915, 8CTA0916, 8CTA0917, 8CTA0918, 8CTA0919, 8CTA0920, 8CTA0921, 8CTA0922, 8CTA0923, 8CTA0924, 8CTA0925, 8CTA0926, 8CTA0927, 8CTA0928, 8CTA0929, 8CTA0930, 8CTA0931, 8CTA0932, 8CTA0933, 8CTA0934, 8CTA0935, 8CTA0936, 8CTA0937, 8CTA0938, 8CTA0939, 8CTA0940, 8CTA0942, 8CTA0943, 8CTA0944, 8CTA0945, 8CTA0946, 8CTA0947, 8CTA0948, 8CTA0949, 8CTA0950, 8CTA0951, 8CTA0952, 8CTA0953, 8CTA0954, 8CTA0955, 8CTA0956, 8CTA0957, 8CTA0958, 8CTA0959, 8CTA0960, 8CTA0961, 8CTA0962, 8CTA0963, 8CTA0964, 8CTA0965, 8CTA0966, 8CTA0967, 8CTA0968, 8CTA0969, 8CTA0970, 8CTA0971, 8CTA0972, 8CTA0973, 8CTA0974, 8CTA0975, 8CTA0976, 8CTA0977, 8CTA0978, 8CTA0979, 8CTA0980, 8CTA0981, 8CTA0982, 8CTA0983, 8CTA0984, 8CTA0985, 8CTA0986, 8CTA0987, 8CTA0988, 8CTA0989, 8CTA0990, 8CTA0991, 8CTA0992, 8CTA0993, 8CTA0994, 8CTA0996, 8CTA0997, 8CTA0998, 8CTA0999, 8CTA1000, 8CTA1001, 8CTA1002, 8CTA1003, 8CTA1004, 8CTA1005, 8CTA1006, 8CTA1007, 8CTA1008, 8CTA1009, 8CTA1010, 8CTA1011, 8CTA1032, 8CTA1033, 8CTA1037, 8CTA1039, 8CTA1040, 8CTA1041, 8CTA1042, 8CTA1053, 8CTA1057, 8CTA1056, 8CTA1055, 8CTA1054, 8CTA1051, 6CTA0220, 8CTA1050, 8CTA1049, 8CTA1048, 8CTA1047, 8CTA1046, 8CTA1045, 7CTA0333, 8CTA1044, 8CTA1043, 8CTA0995, 8CTA1024, 8CTA1025, 8CTA1026, 8CTA1027, 8CTA1028, 8CTA1029, 8CTA1030, 8CTA1031, 8CTA1034, 8CTA1035, 8CTA1036, 8CTA1038

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1209-2019
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1209-2019Class IITerminatedVoluntary: Firm initiated