Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0693-2024Class I

Distal Phasitron, Part: S20020, for use with Percussionaire VDR-4 control driver (or control unit)

Percussionaire Corp. / initiated 2023-03-28 / Open, Classified / root cause: manufacturing process

Percussionaire Corporation began a recall of Distal Phasitron, Part: S20020, for use with Percussionaire VDR-4 control driver (or control unit) on . FDA classified it as Class I and gives the reason as "Breathing circuit reservoir bag may be assembled at the wrong attachment point, which will result in less than optimal therapy". As of , the recall status on record is Open, Classified, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0693-2024
Classification
Class I
Status
Open, Classified
Initiated
Posted
Recalling firm
Percussionaire Corp.
Product
Distal Phasitron, Part: S20020, for use with Percussionaire VDR-4 control driver (or control unit)
Product code
CBK Ventilator, Continuous, Facility Use
Reason for recall
Breathing circuit reservoir bag may be assembled at the wrong attachment point, which will result in less than optimal therapy.
Root cause tag
manufacturing process
FDA root cause
Process control
Action
On 3/28/23, correction notices were emailed to customers who were asked to remove and switch the reservoir bag to the proper location. On 1/24/24, follow-up correction notices were sent to customers who were asked to do the following: 1) Review your inventory, and if affected devices are identified, ensure the reservoir bag is in the proper location. 2) If affected devices were further distributed, send a copy of this notice to your customers. 3) Complete and return the Effectiveness Check Questionnaire via email to [email protected] If you have any questions, contact the firm's Customer Service at [email protected] or by phone at (208)- 263- 2549 Monday - Friday from 7 AM to 3:30 PM (PST). Additional information for contact information can be found at www.sentec.com/contact
Quantity in commerce
195
Distribution
US: RI, CA, TX
Product codes and lots
UDI-DI: 00849436000693, Lots/Expiration: WO03739/September 13, 2024, and WO04218/November 14, 2024.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0693-2024
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0693-2024Class IOngoingVoluntary: Firm initiated