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Type S Extension For use with Varian, CIVCO, Prescription… recallZ-2243-2020 · Med Tec Inc · initiated May 12, 2020

Terminated

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 Med Tec 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

Potential for disengagement of the Varian Style Type-S Extension during patient repositioning. The risk associated with the disengagement of the extension could be a patient fall if the patient is not supported by clinical staff.

FDA root cause category: Component design/selection

What the company is doing

On May 14, 2020, the firm sent a notification letter titled, "Urgent: Field Safety Notice Customer/Distributor Communication," to customers and distributors. The customer notification stated that a new warning will be added to the instruction manual at the next revision. The warning will state: To prevent extension from unintended disengagement, do not lift patient vertically to reposition while immobilized under a thermoplastic mask. Extensions that were further distributed, should be notified. An acknowledgement form should be returned to the firm by 05/29/2020. In addition, customers need to complete a form which states that they have been informed of the field safety notice involving the Type-S Extension, Varian Style and that notice has been read and understood by all operators of the device. In addition, the customers need to review their inventory for the affected products. Customers need to identify whether they no longer have the Type-S Extension, Varian Style or currently have the Type-S Extension, Varian Style. Customers need to acknowledge that have read and understand the Field Safety Notification and notified users of the device to not lift the patient vertically to reposition while immobilized under a thermoplastic mask. Customers need to identify the quantity of the devices at the facility, as well as, lot numbers and serial numbers. The forms should be returned by FAX or email to: Attention: CIVCO Radiotherapy Type-S Extension North American Customer use: [email protected] or 1-800-842-8688 International Customers use: DistorderCivcoRT.com or 1-712-737-8688 Customers can contact the firm's sales representative for additional assistance by calling the firm between 8:00AM and 5:00PM CST. The firm's distributor notification letters stated that the firm has initiated a field action due to the potential for disengagement of the Type-S Extension, Varian Style during patient setup and/or repositioning. The firm has iden

Recall details

Recall number
Z-2243-2020
Status
Terminated
Initiated by the company
May 12, 2020
Posted by the FDA
Jun 2, 2020
Recalling firm
Med Tec Inc
Quantity
171 units
Product code
IYE
FDA submissions
K933227
Distribution
Worldwide distribution - US Nationwide distribution including in the states of WI, TX, AZ, FL, NE, TN, MA, FL, GA, IN, OR, PA, IL, LA, NH, MS, MI, OH, MN, VA, IA, CA, NC, SC, AK, UT, WA, MO, MT, KS, and WV. The countries of Africa, Colombia, Saudi Arabia, Costa Rica, South Korea, Hungary, Spain, and Italy.

Product description

Type S Extension For use with Varian, CIVCO, Prescription Only - Product Usage: Device is intended for patient positioning.

Code information (models, lots, serial numbers)

Show the full code information (1k characters)

Part Number: MTCFHNV UDI: 00841439104156 Lot Numbers: M027990; M505880; M847500; M166160; M505890; M858580; M198170; M505900; M858590; M241650; M505910; M869030; M249180; M511240; M885500; M257630; M530920; M918000; M278760; M541350; M919980; M282330; M553300; M919990; M283380; M553720; M928400; M293670; M553740; M928410; M300750; M596220; M934260; M303010; M596230; M936110; M314410; M616690; M942400; M321880; M616700; M942510; M323560; M649630; M944110; M326580; M649670; M951030; M333420; M649770; M964730; M350700; M715520; M979830; M356130; M715540; M987460; M362290; M743010; M995860; M365740; M767820; M369700; M774760; M371990; M782390; M418080; M796350; M436620; M796360; M439700; M802120; M442410; M805650; M446460; M809050; M448260; M809060; M457870; M820300; M457880; M829290; M462640; M834400; M493710; M844990; M495030; M845000

Devices named in this recall

1 device in the FDA device registry whose identifier appears in the recall's code information.

Sources and updates

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