Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2960-2020Class II

Terumo Advanced Perfusion System 1 Ultrasonic Air Sensor 1/4x1/16 UAS BLK, Catalog Number 5785 -

Terumo Cardiovascular Systems Corporation / initiated 2020-08-25 / Terminated / root cause: manufacturing process

Terumo Cardiovascular Systems Corporation began a recall of Terumo Advanced Perfusion System 1 Ultrasonic Air Sensor 1/4x1/16 UAS BLK, Catalog Number 5785 - Product Usage: intended for use with Terumo and Sarns brand... on . FDA classified it as Class II and gives the reason as "Internal testing at the supplier, revealed that a crimped wire was placed into an air bubble detector (ABD) sensor connector backwards, preventing the crimped wire from locking into the mating wire connector. This...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-2960-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Terumo Cardiovascular Systems Corporation
Product
Terumo Advanced Perfusion System 1 Ultrasonic Air Sensor 1/4x1/16 UAS BLK, Catalog Number 5785 - Product Usage: intended for use with Terumo and Sarns brand air detection and heart-lung systems to detect gross air bubbles in the line during extracorporeal procedures.
Product code
DTQ Console, Heart-Lung Machine, Cardiopulmonary Bypass
Reason for recall
Internal testing at the supplier, revealed that a crimped wire was placed into an air bubble detector (ABD) sensor connector backwards, preventing the crimped wire from locking into the mating wire connector. This intermittent connection may result in false air bubble alarms.
Root cause tag
manufacturing process
FDA root cause
Employee error
Action
Urgent Medical Device Removal notification letters dated 8/25/20 were sent to customers. Terumo CVS is removing the affected ABD sensors from the field. A Terumo Associate will contact all affected customers to coordinate the shipment of a replacement device and subsequent return of the affected unit. The replacement ABD sensor supplied by Terumo CVS will be part of a kit containing a cable and a bracket which are not affected by this removal. The cable and the bracket do not require replacement. CUSTOMER INSTRUCTIONS 1. Review this Medical Device Correction and assure that all users have received notice of this issue. 2. Confirm receipt of this communication by completing and returning the attached Customer Response Form as indicated on the form. 3. Review Product Return instructions when provided by separate email communication. Tracking information on replacement device will be provided as well as a Return Goods Authorization (RGA) number to facilitate the return of the affected device., 4. Once the replacement shipment has been received, remove the affected ABD sensor and replace it with the new ABD sensor provided by Terumo CVS. 5. Return affected ABD sensor using the packing container and shipping materials received with the replacement ABD device. Please mark the RGA number on the outside of the box. QUESTIONS? We encourage you to contact Terumo CVS with any questions or concerns: Terumo CVS Customer Service: 1.800.521.2818 Monday Friday, 8 a.m. 6 p.m. ET Recall Fax: 1.734.741.6149 Review this Medical Device Correction and assure that all users have received notice of this issue. A Terumo Associate will contact all affected customers to coordinate the shipment of a replacement ABD sensor and subsequent return of the affected unit. Terumo CVS recommends that you continue using your ABD sensor while waiting for a replacement. If you experience an ABD sensor failure, or have questions, contact Terumo CVS Customer Service: 800.521
Quantity in commerce
3
Distribution
Worldwide distribution - US Nationwide distribution.
Product codes and lots
UDI: 00886799000045;  Serial Numbers: 20230 20263 20265

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2960-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2959-2020Class IITerminatedVoluntary: Firm initiated
Z-2960-2020Class IITerminatedVoluntary: Firm initiated
Z-2961-2020Class IITerminatedVoluntary: Firm initiated