Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0637-2024Class I

High Frequency Transport Phasitron Breathing Circuit Kit REF: A50605-D, Rx Only, CE 0123

Percussionaire Corp. / initiated 2023-12-12 / Open, Classified / root cause: manufacturing process

Percussionaire Corporation began a recall of High Frequency Transport Phasitron Breathing Circuit Kit REF: A50605-D, Rx Only, CE 0123 on . FDA classified it as Class I and gives the reason as "Due to an assembly error within the breathing circuit, their pressure output of the breathing circuit kit can be affected and have severe impact to the end user". As of , the recall status on record is Open, Classified, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0637-2024
Classification
Class I
Status
Open, Classified
Initiated
Posted
Recalling firm
Percussionaire Corp.
Product
High Frequency Transport Phasitron Breathing Circuit Kit REF: A50605-D, Rx Only, CE 0123
Product code
CBK Ventilator, Continuous, Facility Use
Reason for recall
Due to an assembly error within the breathing circuit, their pressure output of the breathing circuit kit can be affected and have severe impact to the end user
Root cause tag
manufacturing process
FDA root cause
Process control
Action
On January 17, 2024, Percussionaire issued a Urgent Medical Device Recall Notification Update via E-Mail to affected consignees to provide additional information. The original notification was issued on December 12, 2023. Percussionaire asked consignees to take the following actions: Customer Instructions 1. Complete and Return Acknowledgement form (attached). 2. Complete Pre-Check Checklist prior to patient use. 3. Prioritize the return of all impacted product. 4. Report any adverse reactions or quality problems experienced with the use of this product to Percussionaire/Sentec Customer Service department via email ([email protected]) or FDA s MedWatch Adverse Event reporting program either online or by regular mail or fax. Distributor Instructions 1. Complete and Return Distributor Acknowledgement form (attached). 2. Send Urgent Field Safety Notice containing Pre-Use Checklist to end customers. 3. Prioritize the return of affected lots in stock. 4. Support end customers returning affected products. 5. Report any adverse reactions or quality problems experienced with the use of this product to Percussionaire/Sentec Customer Service department via email ([email protected]) or FDA s MedWatch Adverse Event reporting program either online or by regular mail or fax.
Quantity in commerce
2145 units
Distribution
US:AL AR CA CT FL GA IL IN KS LA MI MN MO NC NJ OH OR TN TX UT VA OUS: None
Product codes and lots
UDI: (01)10849436000331/Lot # WO05216, WO05254, WO05321, WO05392, WO05559, WO05588, WO05684, WO05749, WO05896, WO05930,WO06028

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0637-2024
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0637-2024Class IOngoingVoluntary: Firm initiated