Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0887-2022Class II

Ultima Activator II Reusable Drive Mechanism, part # C-UA-5001. Labeled REF UA-5001

Maquet Cardiovascular LLC / initiated 2022-02-09 / Open, Classified

Maquet Cardiovascular, LLC began a recall of Ultima Activator II Reusable Drive Mechanism, part # C-UA-5001. Labeled REF UA-5001 on . FDA classified it as Class II and gives the reason as "Potential for corrosion on the pins of the Ultima Activator II Reusable Drive Mechanism. Harms may include allergic reaction, metal toxicity, and other delayed responses". As of , the recall status on record is Open, Classified.

Recall record

Recall number
Z-0887-2022
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Maquet Cardiovascular LLC
Product
Ultima Activator II Reusable Drive Mechanism, part # C-UA-5001. Labeled REF UA-5001.
Product code
DWS Instruments, Surgical, Cardiovascular
Reason for recall
Potential for corrosion on the pins of the Ultima Activator II Reusable Drive Mechanism. Harms may include allergic reaction, metal toxicity, and other delayed responses.
FDA root cause
Mixed-up of materials/components
Action
On February 14, 2022, a customer notification letter was issued via FedEx. Customers are instructed to quarantine and return all affected product and notify all users within the hospital/facility. Please note affected lot numbers appear on the device package only. If the packaging has been discarded, the affected devices can be identified by Device Component Lot number, which is etched onto all 3 device components on side of handle and on underside above each pin. Customers are to complete and return the response form by email or fax. Distributors are to forward this document to customers for appropriate action. If you have any questions, please contact your Maquet Cardiovascular, LLC /Getinge representative or call the Getinge Customer Service at (888) 880-2874, Monday through Friday, between the hours of 6:00a.m. and 5:00 p.m. (Pacific Standard Time)
Quantity in commerce
60
Distribution
Worldwide - United States (AL, AZ, CA, FL, IL, KY, LA, MO, MT, NM, OH, PA, TX, WI), Germany, Republic of Korea (South Korea), Russia, Thailand, United Arab Emirates.
Product codes and lots
UDI# 00607567700901, Lots (3): 25153700, 25157489, 25158616. Please note affected lot numbers (25153700, 25157489, 25158616) appear on the device package only. If the packaging has been discarded, the affected devices can be identified by Device Component Lot number (200501), which is etched onto all 3 device components on side of handle and on underside above each pin.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0887-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0887-2022Class IIOngoingVoluntary: Firm initiated