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Distal Phasitron, Part: S20020, for use with Percussionaire… recallZ-0693-2024 · Percussionaire Corporation · initiated Mar 28, 2023

Open, Classified

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 Percussionaire Corporation 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

Breathing circuit reservoir bag may be assembled at the wrong attachment point, which will result in less than optimal therapy.

FDA root cause category: Process control

What the company is doing

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

Recall details

Recall number
Z-0693-2024
Status
Open, Classified
Initiated by the company
Mar 28, 2023
Posted by the FDA
Jan 17, 2024
Recalling firm
Percussionaire Corporation
Quantity
195
Product code
CBK
FDA submissions
K905235
Distribution
US: RI, CA, TX

Product description

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

Code information (models, lots, serial numbers)

UDI-DI: 00849436000693, Lots/Expiration: WO03739/September 13, 2024, and WO04218/November 14, 2024.

Devices named in this recall

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

Other devices under the same FDA submission

6 devices cleared under K905235 are not named by identifier in this recall. One submission often covers many models, so they may or may not be affected.

Sources and updates

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