Model 5001102 MPS Delivery Set w/ arrest agent and additive cassettes, heat exchanger &10 ft. del...

FDA Device Recall #Z-0361-2016 — Class II — October 28, 2015

Recall Summary

Recall Number Z-0361-2016
Classification Class II — Moderate risk
Date Initiated October 28, 2015
Status Terminated
Voluntary Voluntary: Firm initiated

Recalling Firm

Firm Quest Medical, Inc.
Location Allen, TX
Product Type Devices
Quantity 18,761 units

Product Description

Model 5001102 MPS Delivery Set w/ arrest agent and additive cassettes, heat exchanger &10 ft. delivery tubing; Model 5001102-AS MPS Delivery Set with 6 ft. delivery tubing; Model 7001102 MPS Low Volume Delivery Set for use with cardiopulmonary bypass equipment.

Reason for Recall

The products have been found to intermittently exhibit a seal failure during use.

Distribution Pattern

Distributed US (nationwide) and the countries of Canada, Japan, Saudi Arabia, Kuwait, South Africa, Switzerland, France, and Italy.

Lot / Code Information

0491795E04, 0492175E04, 0492185E06, 0492195E06, 0492615E06, 0492625E08, 0492635E08, 0489905Y04, 0490245Y06, 0493075U02, 0493085U02, 0493435U04, 0493675U04, 0493685U07, 494465U07, 0494475U09, 0494855G01, 0495215U11, 0495225U11, 0495505G02, 495515G02, 0496535G08, 0496875G08, 496885G08, 0497245S02, 0495205U11, 497255S04, 0497655S04, 0498535S06, 0498545S06, 0492205E03, 0493695U04, 0494485U07, 0495525G02, 0497265S02, 0495965G04, 0492765E07

Other Recalls from Quest Medical, Inc.

Recall # Classification Product Date
Z-0197-2024 Class II Q2 Multiport Extension set, REF: 9520, Rx Only ... Jul 14, 2023
Z-1100-2023 Class II Precision Delivery Set with Filter, REF: PD06F;... Dec 23, 2022
Z-2107-2020 Class II Ref 801168, MPS Top Cover Replacement Kit, 1 UN... Dec 17, 2019
Z-1368-2015 Class II LIS27T - Lacrimal Intubation Set RX Only Steri... Feb 26, 2015

Frequently Asked Questions

Contact your healthcare provider and the device manufacturer immediately. Check whether your specific model number and lot number are included in the recall scope. For external devices, stop using the affected product and arrange a replacement. For implanted devices, do not panic — removal is typically not required unless the risk assessment clearly indicates it. Your physician will guide you based on your individual clinical situation and the FDA's recommended actions. Report any adverse effects you may have experienced to FDA MedWatch at 1-800-FDA-1088.

Class I recalls indicate a reasonable probability of serious adverse health consequences or death from the defect. Class II recalls involve products that may cause temporary or medically reversible adverse health consequences, or where serious consequences are remote. Class III recalls cover products not likely to cause any adverse health consequences, typically involving technical regulatory violations. The classification guides urgency — Class I recalls require immediate action, while Class III may simply involve returning a product or acknowledging a labeling change. Always read the specific recall notice for recommended patient actions.

Report problems with medical devices to the FDA through MedWatch at 1-800-FDA-1088 or online at FDA.gov/safety/medwatch. Healthcare facilities are required by law to report device-related serious injuries and deaths. Patients and consumers can also report voluntarily. Include the device name, manufacturer, model number, and a description of the problem and any patient outcome. Reports from patients and clinicians help the FDA identify emerging safety signals and may trigger investigations that lead to recalls of dangerous devices.

What Should You Do?

Stop using this device if you are affected by this recall. Contact your healthcare provider and the manufacturer immediately for guidance. Report adverse events to FDA MedWatch.