FDA Enforcement Class II Terminated

WAVES WCM Kidney Cassette Module

Recall: Z-1013-2022 · Reported May 4, 2022

Enforcement

Recall Number
Z-1013-2022
Event ID
89841
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Waters Medical Systems LLC
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
May 4, 2022
Initiation Date
March 21, 2022
Classification Date
April 27, 2022
Termination Date
August 16, 2024
Address
2112 15th St NW, Rochester, MN, 55901-0716, United States

Description

WAVES WCM Kidney Cassette Module

Reason

There is a potential for the WCM cassette pump head leaking solution.

Code Info

WCM Kidney Cassette: 1) Lot 123, packaged in cases; WMS Individual PN: 3930005.011; WMS Cassette Kit PN: 3930005.012; WMS Case (6ct) PN: 3930005.014; EXP 2022-07-01; UDI (Case): *B154W39300050146/$$32207011236* 2) Lot 124, packaged in cases; WMS Individual PN: 3930005.011; WMS Cassette Kit PN: 3930005.012; WMS Case (6ct) PN: 3930005.014; EXP 2023-01-05; UDI (Case): *B154W39300050146/$$32301051246* 3) Lot 126, packaged in cases; WMS Individual PN: 3930005.011; WMS Cassette Kit PN: 3930005.012; WMS Case (6ct) PN: 3930005.014; EXP 2023-05-17; UDI (Case): *B154W39300050146/$$3230517126F*

Distribution

WCM cassettes have been distributed to one domestic customer with two locations in Tennessee and one international distributor located in France.

Quantity

75 cases (6ct)