Medical Device
Manufacturing
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Z-2074-2020Class II

Dako Autostainer instruments: Autostainer Link 48, Model AS480; Autostainer Plus Link Instrument, Model...

Agilent Technologies Denmark ApS / initiated 2019-11-05 / Terminated / root cause: manufacturing process

Dako Denmark A/S began a recall of Dako Autostainer instruments: Autostainer Link 48, Model AS480; Autostainer Plus Link Instrument, Model AS100; Autostainer, Model S3400; and Autostainer Plus... on . FDA classified it as Class II and gives the reason as "The Autostainer instrument may not have a syringe tray installed which could result in a small volume of excess buffer being applied to several slides. In addition to the syringe tray, the updated Basic User Guide will...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-2074-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Agilent Technologies Denmark ApS
Product
Dako Autostainer instruments: Autostainer Link 48, Model AS480; Autostainer Plus Link Instrument, Model AS100; Autostainer, Model S3400; and Autostainer Plus, Model S3800.
Product code
KPA Slide Stainer, Automated
Reason for recall
The Autostainer instrument may not have a syringe tray installed which could result in a small volume of excess buffer being applied to several slides. In addition to the syringe tray, the updated Basic User Guide will reduce the potential risk of false negative results in the case of leakage of buffer and/or reagents that may impact staining.
Root cause tag
manufacturing process
FDA root cause
Nonconforming Material/Component
Action
The firm issued letters dated 10/30/2019 via email or standard mail, or phone call beginning 11/5/2019 notifying the customer of the issue, providing the risk to health, and actions that needed to be taken. On 09/03/2020, Agilent Dako sent Urgent Field Safety Notices to customers who were asked to take the following actions: 1) Carefully read and communicate to those within your organization of the updates stated in this notification letter and attached Autostainer Link Basic User Guide (rev. 06). Your local sales team will confirm with you that you have read and acknowledged this notification. 2) Your Agilent representative should be contacted immediately for assistance in the event of leakage. 3) Please discard previous versions of the Autostainer Link Basic User Guide that you are currently using.
Quantity in commerce
796 devices
Distribution
Distribution was nationwide. There was government/military distribution. Foreign distribution was made to Canada, Australia, Bangaladesh, Belarus, Brazil, Bulgaria, Chile, China, Colombia, Croatia, Denmark, Ecuador, Egypt, Estonia, Finland, France, Germany, Greece, Hong Kong, India, Ireland, Israel, Italy, Japan, Kazakhstan, Kenya, Kuwait, Latvia, Lebanon, Macedonia, Morocco, New Zealand, Norway, Oman, Pakistan, Panama, Peru, Poland, Qatar, Romania, Russia, Saudi Arabia, Slovakia, South Africa, South Korea, Spain, Sweden, Taiwan, Thailand, Turkey, Ukraine, United Arab Emirates, Uruguay, and Vietnam.
Product codes and lots
All serial numbers of devices manufactured between 7/22/1997-6/28/2018 that do not have an installed syringe tray, UDI 05700572035497.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2074-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2074-2020Class IITerminatedVoluntary: Firm initiated