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Model 5001102 MPS Delivery Set w/ arrest agent and additive… recallZ-0361-2016 · Quest Medical, Inc. · initiated Oct 28, 2015

Class II Terminated All recalls posted in December 2015

Is my device affected?

  1. Compare the model, catalog and lot or serial numbers on your device or its packaging with the code information below. A recall usually covers only specific models or lots.
  2. If yours is listed, follow the instructions from Quest Medical, Inc. or your healthcare provider. The company's action is summarized under what the company is doing.
  3. Do not stop using a prescribed or implanted device on your own — talk to your healthcare provider first.

Where to find your model and lot numbers · What recall classes and statuses mean

Why it was recalled

The products have been found to intermittently exhibit a seal failure during use.

FDA root cause category: Equipment maintenance

What the company is doing

The recalling firm issued a press release on 10/28/2015. The press release was posted on FDA website on 10/29/2015. The recalling firm emailed affected consignees on 10/28/15 and sent out recall letters via USPS beginning 10/30/15.

Recall details

Recall number
Z-0361-2016
Recall class
Class II
Status
Terminated
Initiated by the company
Oct 28, 2015
Posted by the FDA
Dec 2, 2015
Recalling firm
Quest Medical, Inc.
Quantity
18,761 units
Product code
DTR
FDA submissions
K953838
Distribution
Distributed US (nationwide) and the countries of Canada, Japan, Saudi Arabia, Kuwait, South Africa, Switzerland, France, and Italy.

Product description

Model 5001102 MPS Delivery Set w/ arrest agent and additive cassettes, heat exchanger &10 ft. delivery tubing; Model 5001102-AS MPS Delivery Set with 6 ft. delivery tubing; Model 7001102 MPS Low Volume Delivery Set for use with cardiopulmonary bypass equipment.

Code information (models, lots, serial numbers)

0491795E04, 0492175E04, 0492185E06, 0492195E06, 0492615E06, 0492625E08, 0492635E08, 0489905Y04, 0490245Y06, 0493075U02, 0493085U02, 0493435U04,  0493675U04, 0493685U07, 494465U07, 0494475U09, 0494855G01, 0495215U11, 0495225U11, 0495505G02, 495515G02, 0496535G08, 0496875G08, 496885G08, 0497245S02, 0495205U11, 497255S04, 0497655S04, 0498535S06, 0498545S06, 0492205E03, 0493695U04, 0494485U07, 0495525G02, 0497265S02, 0495965G04, 0492765E07

Other devices under the same FDA submission

4 devices cleared under K953838 — the recall does not name any of them by identifier. One submission often covers many models, so they may or may not be affected.

Sources and updates

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