Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0891-2020Class II

Cell Saver5/5+ Bowl Kit (225 ml) Autotransfusion Device -

Haemonetics Corporation / initiated 2019-10-21 / Terminated / root cause: design

Haemonetics Corporation began a recall of Cell Saver5/5+ Bowl Kit (225 ml) Autotransfusion Device - Product Usage: its related accessory components are intended to be used for the recovery and... on . FDA classified it as Class II and gives the reason as "Potential to develop leaks at the inner core of Cell Saver 5/5+ and Cell Saver Elite/Elite +125ml and 225ml bowl sets. Which could result in fluid being trapped inside the bowl core, causing a long empty device error...". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0891-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Haemonetics Corporation
Product
Cell Saver5/5+ Bowl Kit (225 ml) Autotransfusion Device - Product Usage: its related accessory components are intended to be used for the recovery and processing of blood shed during or subsequent to an operation or as a result of trauma.
Product code
CAC Apparatus, Autotransfusion
Reason for recall
Potential to develop leaks at the inner core of Cell Saver 5/5+ and Cell Saver Elite/Elite +125ml and 225ml bowl sets. Which could result in fluid being trapped inside the bowl core, causing a long empty device error message with the possibility of incomplete washing.
Root cause tag
design
FDA root cause
Device Design
Action
On October 21 & 22, 2019 the firm distributed Urgent Medical Device Recall Communication letters by mail: SAFETY NOTIFICATION FOR 125ml and 225ml Centrifuge Bowls Attention: Risk Management Director, Materials Manager and Director Biomedical Engineering Please forward this communication to all potential users of the products. Dear Customer, Haemonetics makes continuous efforts to supply our customers with products that meet the highest levels of product quality and reliability. We have recently identified a potential issue with Cell Saver 5/5+ and Cell Saver Elite/Elite + 125ml and 225ml bowl sets. The investigation has determined that a small number of bowl sets may have the potential to develop leaks at the inner core, which could result in fluid becoming trapped inside the bowl core, causing a long empty device error message with the possibility of incomplete washing. Note: The likelihood of experiencing an inner core leak is low, and no fluid has been found to exit the bowl into the Cell Saver device. We have a dedicated team implementing corrective actions to resolve this issue. What to do if experiencing Long Empty error code on your device: If an error code indicates Long Empty, complete the troubleshooting guidance provided on Page 3 in this communication. If the error message continues, the user should remove the bowl, tilt it upside down and visually check the base for cracks directly on or extending from the ribs. See Page 4 for photo example of where to inspect: -If no cracks are observed and procedure is complete, proceed with using the blood in the reinfusion bag. No further action is required. If continuing with the procedure, use a new processing set. - If cracks are confirmed, the user should assume incomplete washing of the bowl contents, and the wash cycle should be repeated on blood that is in the reinfusion bag. Take any residual RBCs in the reinfusion bag, and empty its contents into the cardiotomy reservoir to rep
Quantity in commerce
690043
Distribution
Worldwide distribution - US Nationwide distribution in the states of AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY, and countries of NZ, AU, IN, PK, PH, HK, VN, MY, ID, SG, CN, AT, DE, FR, GB, IT, CH.
Product codes and lots
Catalog number/FG Item Number: 00263-00  1. Specific Lots with Bowl Cracks (44831 Distributed) Lot number: 0119010 0119011 0219031 0218056 0218057 0218058 0418012 1018084 1118009 0718099  2. Missing instructions to check for cracks in IFU All products/lost manufactured between October 2014 and October 2019.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0891-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0885-2020Class IITerminatedVoluntary: Firm initiated
Z-0886-2020Class IITerminatedVoluntary: Firm initiated
Z-0887-2020Class IITerminatedVoluntary: Firm initiated
Z-0888-2020Class IITerminatedVoluntary: Firm initiated
Z-0889-2020Class IITerminatedVoluntary: Firm initiated
Z-0890-2020Class IITerminatedVoluntary: Firm initiated
Z-0891-2020Class IITerminatedVoluntary: Firm initiated
Z-0892-2020Class IITerminatedVoluntary: Firm initiated
Z-0893-2020Class IITerminatedVoluntary: Firm initiated
Z-0894-2020Class IITerminatedVoluntary: Firm initiated
Z-0895-2020Class IITerminatedVoluntary: Firm initiated
Z-0896-2020Class IITerminatedVoluntary: Firm initiated
Z-0897-2020Class IITerminatedVoluntary: Firm initiated
Z-0898-2020Class IITerminatedVoluntary: Firm initiated
Z-0899-2020Class IITerminatedVoluntary: Firm initiated
Z-0900-2020Class IITerminatedVoluntary: Firm initiated
Z-0901-2020Class IITerminatedVoluntary: Firm initiated
Z-0902-2020Class IITerminatedVoluntary: Firm initiated
Z-0903-2020Class IITerminatedVoluntary: Firm initiated
Z-0904-2020Class IITerminatedVoluntary: Firm initiated
Z-0905-2020Class IITerminatedVoluntary: Firm initiated
Z-0906-2020Class IITerminatedVoluntary: Firm initiated