Device recalls

Leica HistoCore PEGASUS Tissue Processor, REF 14048858005.

LEICA BIOSYSTEMS NUSSLOCH GMBH · Poorly processed and/or damaged biopsy tissue specimens on the device resulting from reagent levels exceeding the maximum fill level marks on reagent bottles o…

Open, ClassifiedDevice DesignZ-1947-2024
Open FDA's page for this record
Cfres ID
207270
Product res number
Z-1947-2024
Event date initiated
2024-04-10
Event date posted
2024-06-04
Recall status
Open, Classified
Res event number
94470
Product code
IEO
Product description
Leica HistoCore PEGASUS Tissue Processor, REF 14048858005.
Code info
All devices with serial numbers: G0061 - G0154, G0156 - G0530, G0532 - G0779, G0781, G0782; UDI-DI 04049188216397.
Firm FEI number
3002179321
Recalling firm
LEICA BIOSYSTEMS NUSSLOCH GMBH
Address 1
Heidelberger Str. 17-19 17-19 heidelberger str.
City
Nussloch
Country
Germany
Additional info contact
Margaret Walczak 815-200-2717
Root cause description
Device Design
Product quantity
141 devices
Reason for recall

Poorly processed and/or damaged biopsy tissue specimens on the device resulting from reagent levels exceeding the maximum fill level marks on reagent bottles or in the paraffin tanks.

Action

The recalling firm issued letters to the Canadian consignees on 4/10/2024 via email and to the U.S. consignees on 4/18/2024 via email. The letter explained the reason for recall, the impact of the issue, and advice on immediate actions to be taken. The actions were: (1) Check reagent status in reagent bottles and paraffin status in paraffin bath. In case of any signs of contamination (such as muddiness, turbidity, or liquid separation) are observed, you should stop using the instrument for tissue processing and call for service. When no cross-contamination is observed, continue with the following: (a) In order to ensure defined condition, please check reagent/paraffin level. If they are over the maximum level mark, you should pour out the excess reagent/paraffin, and empty the condensation bottle; (b) To secure further processing, reagent and wax bath levels shall be always checked in terms of not exceeding maximum fill level. As long as maximum fill level is between the minimum and maximum level, your instrument is fine, and you can continue processing. (2) Before running the protocol, inspect the reagent level in reagent bottles and paraffin level in paraffin baths. Make sure that all processing reagents and paraffin level is between the Min and Max. and regularly empty the condensation bottle (weekly). (Refer to IFU 2.2.3 Operating the instrument; 9.3 Cleaning and maintenance schedule). (3) The reagent bottle and paraffin bath should be filled between the Min and Max line as indicated in the Instructions for Use. (Reagent level: Refer to IFU 4.4 Basic instrument/hardware 4.4.1 Retorts). (4) Formalin should be dripped out from the basket before adding it into the retort to avoid large carryover volume of formalin into the reagent bottle. (5) Please check if the current carrier material has large volume of carryover. If yes, please change to an appropriate carrier material. (6) Please do not clean the Mold or metal lid in the retort during the cleaning p

Distribution pattern

Worldwide - US Nationwide distribution including in the states of AK, AL, AZ, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MT, NC, NJ, NV, NY, OH, TN, TX, UT, VA, WA, and WI. There was also government distribution but no military distribution. The country of Canada.

Harmonized identifiers (openFDA)
Device name
Processor, Tissue, Automated
Medical specialty description
Pathology
Regulation number
864.3875
Device class
1
K number
K831313, K924590, K853938, K883599, K834599, K843506, K851054, K771308, K801427, K881165, K761062, K801513
Registration number
3031915160, 1000303355, 2432235, 3010889707, 3003639866, 3002821232, 3038196622, 3010685493, 3006610913, 8010478, 8020030, 3018771894, 1036362, 2083544, 2954792, 3010611944, 3003584784, 3010889828, 3009034535, 3008776165, 3038188821, 3015167933, 3004594181, 3043606682, 3014165737, 3009155756, 3010692993, 9680927, 3008399755, 1000391282
FEI number
3031915160, 1000303355, 2432235, 3010889707, 3003639866, 3006461677, 3002821232, 3038196622, 3010685493, 3006610913, 3018771894, 1036362, 2083544, 3010611944, 3003584784, 2936532, 3010889828, 3009034535, 3038188821, 3015167933, 3004594181, 3043606682, 3014165737, 3003243640, 3009155756, 3010692993, 3008399755, 1000391282, 3002179321, 3007419242
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