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Terminated

Ref 801168, MPS Top Cover Replacement Kit, 1 UNITS, UDI: (01)2 0634624 81168 7 (11)190916 (17)290913 (10)059135 (The device is a component of the MPS Console used as replacements for worn or damaged MPS Console top covers)

FDA Recall Z-2107-2020 · Posted None

Recalling FirmQuest Medical, Inc.
Recall StatusTerminated
Product CodeDTR
Date Initiated2019-12-17
Date Terminated2024-04-17
Product Quantity5 units

Reason for Recall

Additive and Arrest Agent Labels on the MPS Top Cover Replacement Kit, a replacement for worn or damaged MPS Console Top Covers for cardiopulmonary bypass heat exchanger, used to deliver whole blood to the heart during open heart surgery, were swapped and incorrectly placed. This could lead to over delivery of potassium by the user requiring medical intervention.

Firm Action

Customers who received product/affected lot were to be contacted via letter, Urgent-Product Recall Notice, dated 12/6/2019 sent to customers via XXX. Customers were to review their inventory to see if they had products from the affected lot. If they did have these products they were to place the product in quarantine and contact Quest Medical, Inc. using a form included with the recall notification. It instructed customers to complete and return the enclosed response form to Tosan Onosode Regulatory Affairs Supervisor,Quest Medical, Inc.,One Allentown Parkway Allen, TX 75002-4211 USA, Email: [email protected] Fax: +1 469-795-2338, Phone: +1 800-627-0226 ext. 338 so that they can arrange to correct the labeling defect on these units. It further stated that If customers had any questions or concerns regarding this action, they should contact Tosan Onosode, Regulatory Affairs Supervisor, Recall Coordinator at 1-800-627-0226, ext. 338.

Root Cause

Under Investigation by firm

Distribution Pattern

US Nationwide distribution including in the states of NY, PA, TN, WV. OUS: None

Related FDA 510(k) Records

Devices referenced by this recall via K-numbers.

Official Source

View FDA Recall →

Source: FDA Enforcement Report / Recall database. Always confirm against the official FDA record.

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