RecallDepth

Vacuum Unit for CATSmart Vacuum Pump. Fresenius CATSmart (Continuous Autotransfusion System) is indicated for the processing of blood collected intraoperatively and postoperatively to obtain washed packed red blood cells for reinfusion.

Company
Fenwal Inc
Recall Initiated
February 11, 2019
Terminated
June 23, 2020
Recall Number
Z-1059-2019
Quantity
198 devices
Firm Location
Lake Zurich, IL

Reason for Recall

The optional Vacuum Unit may stop working and display the failure message "Failure vacuum unit" during use.

Distribution

US Nationwide Distribution to states of: AZ, CA, FL, HI, ID, IL, IN, MD, MI, MN, MO, NC, ND, NE, NJ, NV, NY, OK, OR, PA, TN, TX, VA and PR; and Internationally to Canada.

Lot / Code Info

Material Number 9005851; Serial Numbers: 5VTA0180, 5VTA0183, 5VTA0194, 5VTA0195, 5VTA0196, 5VTA0197, 5VTA0198, 5VTA0199, 5VTA0200, 5VTA0201, 5VTA0202, 5VTA0203, 5VTA0204, 5VTA0205, 5VTA0206, 5VTA0234, 5VTA0235, 5VTA0236, 5VTA0237, 5VTA0238, 5VTA0239, 5VTA0240, 5VTA0241, 5VTA0242, 5VTA0243, 5VTA0244, 5VTA0245, 5VTA0246, 5VTA0247, 5VTA0248, 5VTA0249, 5VTA0250, 5VTA0251, 5VTA0252, 5VTA0253, 5VTA0254, 5VTA0255, 5VTA0256, 6VTA0257, 6VTA0258, 6VTA0259, 6VTA0260, 6VTA0261, 6VTA0262, 6VTA0263, 6VTA0264, 6VTA0265, 6VTA0266, 6VTA0289, 6VTA0295, 6VTA0296, 6VTA0297, 6VTA0298, 6VTA0299, 6VTA0300, 6VTA0301, 6VTA0302, 6VTA0303, 6VTA0304, 6VTA0305, 6VTA0337, 6VTA0338, 6VTA0339, 6VTA0340, 6VTA0341, 6VTA0342, 6VTA0343, 6VTA0344, 6VTA0430, 6VTA0431, 6VTA0432, 6VTA0433, 6VTA0434, 6VTA0435, 6VTA0436, 6VTA0437, 6VTA0438, 6VTA0439, 6VTA0440, 6VTA0441, 6VTA0442, 6VTA0443, 6VTA0444, 6VTA0445, 6VTA0450, 6VTA0451, 6VTA0452, 6VTA0453, 6VTA0454, 6VTA0455, 6VTA0456, 6VTA0457, 7VTA0458, 7VTA0459, 7VTA0460, 7VTA0461, 7VTA0463, 7VTA0464, 7VTA0465, 7VTA0466, 7VTA0467, 7VTA0468, 7VTA0469, 7VTA0470, 7VTA0471, 7VTA0472, 7VTA0473, 7VTA0474, 7VTA0475, 7VTA0476, 7VTA0477, 7VTA0478, 7VTA0479, 7VTA0480, 7VTA0481, 7VTA0482, 7VTA0483, 7VTA0484, 7VTA0485, 7VTA0486, 7VTA0487, 7VTA0488, 7VTA0489, 7VTA0490, 7VTA0491, 7VTA0492, 7VTA0493, 7VTA0494, 7VTA0495, 7VTA0496, 7VTA0497, 7VTA0525, 7VTA0526, 7VTA0527, 7VTA0528, 7VTA0529, 7VTA0530, 7VTA0531, 7VTA0532, 7VTA0533, 7VTA0534, 7VTA0535, 7VTA0536, 7VTA0537, 7VTA0538, 7VTA0539, 7VTA0540, 7VTA0541, 7VTA0542, 7VTA0543, 7VTA0544, 7VTA0545, 7VTA0553, 7VTA0554, 7VTA0555, 7VTA0558, 7VTA0559, 7VTA0560, 7VTA0575, 7VTA0582, 7VTA0583, 7VTA0584, 7VTA0585, 7VTA0586, 7VTA0587, 7VTA0588, 7VTA0589, 7VTA0590, 7VTA0591, 7VTA0592, 7VTA0593, 7VTA0594, 7VTA0595, 7VTA0596, 7VTA0597, 7VTA0598, 7VTA0599, 7VTA0606, 7VTA0607, 7VTA0608, 7VTA0609, 7VTA0610, 7VTA0611, 7VTA0612, 7VTA0613, 7VTA0614, 7VTA0616, 7VTA0617, 7VTA0618, 7VTA0620, 7VTA0672, 7VTA0673, 7VTA0674, 7VTA0675, 7VTA0676, 7VTA0677, 7VTA0678, 7VTA0679, 7VTA0680, 7VTA0681, 7VTA0683, 7VTA0684, 7VTA0685, 7VTA0686, 7VTA0687, 7VTA0688, 7VTA0689, 7VTA0690, 7VTA0691, 7VTA0692, 7VTA0693, 7VTA0694, 7VTA0695, 7VTA0696, 7VTA0697, 7VTA0698, 7VTA0699, 7VTA0700, 7VTA0701, 7VTA0702, 7VTA0708, 7VTA0709, 7VTA0710, 7VTA0711, 7VTA0712, 7VTA0713, 7VTA0714, 7VTA0715, 7VTA0716, 7VTA0717, 7VTA0718, 7VTA0719, 7VTA0720, 7VTA0721, 7VTA0722, 7VTA0723, 7VTA0724, 7VTA0725, 7VTA0729, 7VTA0759, 7VTA0760, 7VTA0761, 7VTA0762, 7VTA0763, 7VTA0764, 7VTA0765, 7VTA0766, 7VTA0767, 7VTA0768, 7VTA0769, 7VTA0770, 7VTA0771, 7VTA0772, 7VTA0773, 7VTA0774, 7VTA0775, 7VTA0776, 7VTA0777, 7VTA0778, 7VTA0779, 7VTA0780, 7VTA0781, 7VTA0806, 7VTA0807, 7VTA0858, 7VTA0859, 7VTA0860, 7VTA0861, 7VTA0862, 7VTA0863, 7VTA0864, 7VTA0865, 7VTA0866, 7VTA0867, 7VTA0868, 7VTA0869, 7VTA0870, 7VTA0871, 7VTA0872, 7VTA0873, 7VTA0874, 7VTA0875, 7VTA0876, 7VTA0877, 7VTA0878, 7VTA0879, 7VTA0880, 7VTA0881, 7VTA0898, 7VTA0901, 7VTA0902, 7VTA0903, 7VTA0904, 7VTA0905, 7VTA0906, 7VTA0907, 8VTA0908, 8VTA0909, 8VTA0910, 8VTA0911, 8VTA0912, 8VTA0913, 8VTA0914, 8VTA0915, 8VTA0916, 8VTA0917, 8VTA0918, 8VTA0919, 8VTA0920, 8VTA0921, 8VTA0922, 8VTA0923, 8VTA0924, 8VTA0925, 8VTA0926, 8VTA0937, 8VTA0938, 8VTA0939, 8VTA0940, 8VTA0941, 8VTA0942, 8VTA0943, 8VTA0944, 8VTA0945, 8VTA0946, 8VTA0947, 8VTA0948, 8VTA0949, 8VTA0950, 8VTA0951, 8VTA0952, 8VTA0953, 8VTA0954, 8VTA0955, 8VTA0956, 8VTA0957.

Root Cause

Software design

Action Taken

The firm, Fresenius Kabi, sent the initial distributor a notification on about 02/11/2019 via email. Consignees were notified on about 02/18/2019 via "IMPORTANT - VACUUM UNIT for CATSmart ISSUE" letter dated 2/7/2019. Instructions inducted that the device can still be used and there are not restrictions on the washing process. If an incident is experienced, customers are directed to contact Technical Service at 1-800-937-5060 and to provide the serial number of the device. Fresenius Kabi will be modifying the vacuum pump with a new cable mechanism to provide a secure long-term connection and updated firmware allowing for a consistent signal to the CATSmart device. The modifications will be implemented at customer locations and completed by September 1, 2019. Customers were also instructed to complete and return the Customer Reply form via fax to:1-847-550-0032. If you have any questions, please contact the Fresenius Kabi Technical Service at 800- 937-5060. prompt 2.

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