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U.S. Department of Health and Human Services

Class 1 Device Recall Merit Medical's Custom Procedural Trays

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 Class 1 Recall
Merit Medical's Custom Procedural Trays
see related information
Date Posted February 20, 2014
Recall Status1 Terminated on May 13, 2014
Recall Number Z-0980-2014
Recall Event ID 66777
Product Classification Saline, Vascular Access Flush - Product Code NGT
Product Merit Medical's Custom Procedural Trays or Kits containing 1% Lidocaine HCl Injection, USP, 10 mg/mL, Lot 25-090-DK. Custom Procedural Tray or kit is a combination of legally marketed medical devices placed into one container for the convenience of the user and used within the limits of the product's intended uses. Custom procedural trays or kits is a combination of legally marketed medical devices placed into one container for the convenience of the user and used within the limits of the product's intended uses.
Code Information Tray/Kit SPPT-5F-10/D, Lot # T491273 , Exp. 31-Dec-2014, SPPT-5F-10/D, Lot # T512967, Exp.31-Dec-2014, K12T-04453, Lot # T472220, Exp. 31-Dec-2014, K12T-04454, Lot # T487452, Exp. 31-Dec-2014, K12T-04455B, Lot # T479169, Exp. 31-Dec-2014, K12T-04455B, Lot # T502497, Exp. 31-Jul-2014, K12T04455B, Lot #T479169, Exp. 31-Dec-2014, K12T-03650C, Lot #T483624, Exp. 31-Oct-2014, K12T-04082B, Lot #T479165, Exp. 31-Oct-2014, K12T-06488, Lot #T475046, Exp. 30-Nov-2014, SPPT-5F-10/D, Lot #T51296, Exp. 31-Dec-2014, SPPT-5F-10/D, Lot #T491273, Exp. 31-Dec-2014, TAPS-5F-10LT, Lot #T486378, 31-Dec-2014, TAPS-5F-10T, Lot#T486379, 31-Dec-2014, SPPT-5F-10L/B, Lot #T486376, 31-Dec-2014, K12T-06292, Lot #T502623, 31-Dec-2014, SPPT-5F-7L/B, Lot #T486377, 31-Dec-2014, SPPT-5F-7L/B, Lot #489467, 31-Dec-2014, K12T-03502A, Lot #T506171, 31-Dec-2014, K12T-04021D, Lot #T450842, 31-Dec-2014, K12T-04021D, Lot #T521882, 31-Dec-2014, K12T-04174A, Lot #T489860, 31-Dec-2014, K12T-04174A, Lot# T496696, 31-Dec-2014, SPPT-5F-10/D, Lot #T491273, 31-Dec-2014, PPT-5F-10/D, Lot #T485986, 31-Dec-2014, TAPS-5F-10LT, Lot #T466554, 31-Dec-2014, TAPS-5F-10LT, Lot #T486378, 31-Dec-2014, TAPS-5F-10LT, Lot #T489468, 31-Dec-2014, K12T-03347, Lot #T478804, 31-Dec-2014, K12T-03425C, Lot #489341, 31-Dec-2014, K12T-05704, Lot #T492544, 31-Dec-2014, SPPT-5F-7/D, Lot #T489466, 31-Dec-2014, K12T-06493A, Lot #T48492, 30-Apr-2014, K09T-11022C. Lot #T483912, 31-Dec-2014, K12T-04001, Lot #T463981, 31-Dec-2014, K12T-05568A, Lot #481071, 30-Nov-2014, SPPT-5F-10S, Lot #T468623, 31-Oct-2014, K10T-04655A, Lot #T484345, 31-Dec-2014, SPPT-100/D, Lot #T478020, 31-Dec-2014, TAPS-5F-10T, Lot #T489469, 31-Dec-2014, K12T-05115A, Lot #T479730, 31-Dec-2014, K12T-03903A, Lot #T468576, 31-Dec-2014, K09T-10692B, Lot #T483949, 31-Dec-2014, K12T-02098, Lot #T483019, 31-Dec-2014, K12T-05386, Lot #T520848, 31-Dec-2014, K10T-04192G, Lot #T472284, 31-Dec-2014, SPPT-5F-7S, Lot #T485990, 31-Oct-2014, K12T-05329D, Lot #T499996, 31-Dec-2014, K10T-04359C, Lot #T491197, 31-Dec-2014, K12T-05060A, Lot #T489355, 31-Dec-2014, K12T-02018, Lot #T491199, 31-Dec-2014, SPPT-5F-10L/B, Lot #T479774, 31-Dec-2014, K12T-04435B, Lot #T495759, 31-Dec-2014, SPPT-5F-10S, Lot #T485989, 31-Oct-2014, K12T-06101B, Lot #T481074, 31-Dec-2014, TAPS-5F-7T, Lot #T485991, 30-Nov-2014, K12T-06287A, Lot #T462949, 31-Dec-2014, TAPS-5F-7T, Lot #T491276, 31-Dec-2014, SPPT-5F-7, Lot #T510218, 31-Dec-2014, K12T-03901, Lot #T463979, 31-Dec-2014, K12T-03902A, Lot #T512294, 31-Dec-2014, K12T-04980, Lot #T470847, 31-Dec-2014, SPPT-5F-10L/B, Lot #T510217, 31-Dec-2014, K12T-04456B, Lot # 71869, 31-Dec-2014, K12T-03561, Lot #T467852, 31-Dec-2014, SPPT-5F-10L/B, Lot #T489465, 31-Dec-2014, TAPS-5F-10T, Lot #T481081, 30-Nov-2014, K12T-02007F, Lot #T486261, 31-Dec-2014, K12T-02363B, Lot #484028, 31-Dec-2014, K12T-02363B, Lot #T512726, 31-Dec-2014, SPPT-5F-10/D, Lot #T485986, 31-Dec-2014, K12T-04304, Lot #T489552, 31-Dec-2014, SPPT-5F-10L/B, Lot #T479774, 31-Dec-2014, K10T-05012A, Lot #T484002, 31-Dec-2014, K10T-04888, Lot #T486289, 31-Dec-2014, K12T-05174, Lot #T492047, 31-Dec-2014, K10T-04675F, Lot #T487475, 31-Dec-2014, K10T-04675G, Lot #T518264, 31-Dec-2014, K12T-04435B, Lot #T495759, 31-Dec-2014, K12T-06083, Lot #T483641, 31-Dec-2014, K12T-05166A, Lot #T487355, 31-Dec-2014, K12T-04677, Lot #T466757, 31-Dec-2014, K12T-04677A, Lot #T510170, 31-Dec-2014, SPPT-5F-10S, Lot #T485989, 31-Oct-2014, K12T-04160B, Lot #T483084, 31-Dec-2014, K12T-05998, Lot #T472000, 31-Jan-2014, K12T-05273A, Lot #T476294, 31-Dec-2014, K12T-04627F, Lot #T487035, 31-Dec-2014, TAPS-5F-10LT, Lot #T489468, 31-Dec-2014, K12T-04127A, Lot #T464325, 31-Dec-2014, K12T-04640, Lot #T487454, 31-Dec-2014, K12T-04848B, Lot #T511337, 31-Dec-2014, K12T-05394A, Lot #T478001, 31-Dec-2014, K12T-01938C, Lot #T478794, 31-Dec-2014, K12T-02657C, Lot #T485373, 31-Jul-2014, SPPT-5F-10S, Lot #T485989, 31-Oct-2014, SPPT-5F-7L/B, Lot #T479775, 31-Dec-2014, SPPT-5F-10L/B, Lot #T510217, 31-Dec-2014, K05T-01920D, Lot # 483910, 30-Nov-2014, K12T-01938C, Lot #T478794, 31-Dec-2014, K12T-05377, Lot #T481002, 31-Dec-2014, K12T-04145B, Lot #T488076, 31-Dec-2014, TAPS-5F-10LT, Lot #T489468, 31-Dec-2014, TAPS-5F-7T, Lot #T491276, 31-Dec-2014, K12T-05071A, Lot #T519206, 31-Dec-2014, K12T-04208B, Lot #T483724, 31-Dec-2014, K12T-06282, Lot #T479334, 31-Dec-2014, K12T-06820, Lot #T486372, 31-Dec-2014, K12T-06821, Lot #T486274, 31-Dec-2014, K12T-05608, Lot #T483747, 31-Dec-2014, SPPT-5F-10S, Lot #T485989, 31-Oct-2014, K12T-02452A, Lot #T471426, 31-Dec-2014, K12T-02452A, Lot #T492773, 31-Dec-2014, K12T-05902A, Lot #T490425, 31-Dec-2014, SPPT-5F-7L/B, Lot#T479775, 31-Dec-2014, SPPT-5F-7L/B, Lot #T510218, 31-Dec-2014, K10T-04110B, Lot #T469318, 31-Dec-2014, SPPT-5F-7L/B, Lot #T479775, 31-Dec-2014, K12T-03565C, Lot #T487516, 31-Dec-2014, TAPS-5F-7T, Lot #T491276, 31-Dec-2014, K12T-05486, Lot #T501960, 31-Dec-2014, K10T-04147C, Lot #T489535, 31-Dec-2014, K12T-02962, Lot #T489404, 31-Dec-2014, K12T-06612, Lot #T486097, 31-Dec-2014, K12T-03486, Lot #T490408, 31-Oct-2014, SPPT-5F-10L/B, Lot #T486376, 31-Dec-2014, SPPT-5F-10/D, Lot #T512967, 31-Dec-2014, TAPS-5F-10T, Lot #T481081, 30-Nov-2014, K12T-04028C, Lot #T492811, 31-Dec-2014, K12T-04110B, Lot #T464324, 31-Dec-2014, K12T-04110B, Lot #T492717, 31-Dec-2014, K12T-02098, Lot #T504336, 31-Dec-2014, K12T-04679, Lot #T479171, 31-Dec-2014, K12T-04679, Lot #T490388, 31-Dec-2014, K12T-06390A, Lot #T481077, 31-Dec-2014, K12T-06698, Lot #T476670, 31-Dec-2014, TAPS-5F-7T, Lot #T491276, 31-Dec-2014, K12T-05049, Lot #T461915, 31-Dec-2014, K12T-04770, Lot #T479728, 31-Dec-2014, K12T-03726A, Lot #T487389, 31-Dec-2014, TAPS-5F-10LT, Lot #T489468, 31-Dec-2014, K12T-02824A, Lot #T483612, 31-Dec-2014, K12T-02824A, Lot #T489334, 31-Dec-2014, SPPT-5F-7L/B, Lot #T479775, 31-Dec-2014, K12T-03464B, Lot #T477831, 31-Dec-2014, K12T-04685C, Lot #T480991, 31-Dec-2014, SPPT-5F-10L/B, Lot #T510217, 31-Dec-2014, K12-05663A, Lot #T492710, 31-Dec-2014, K12T-05986B, Lot #T478929, 31-Dec-2014, SPPT-5F-10L/B, Lot #T486376, 31-Dec-2014, K12T-05833A, Lot #T487540, 30-Sep-2014, K12T-04961, Lot #T518032, 31-Dec-2014, K12T-02447F, Lot #T486262, 30-Nov-2014, K12T-04659C, Lot #T480990, 31-Dec-2014, K12T-04659C, Lot#T515536, 31-Dec-2014, K12T-04010, Lot#T507536, 31-Dec-2014, K12T-03439B, Lot #T487514, 31-Dec-2014, K12T-03464B, Lot #T477831, 31-Dec-2014, SPPT-5F-7L/B, Lot #T479775, 31-Dec-2014, SPPT-5F-7L/B, Lot #T510218, 31-Dec-2014, K10T-05090, Lot #T519010, 31-Dec-2014, K10T-04338B, Lot #T487474, 31-Dec-2014, K12T-03810D, Lot #T484890, 31-Dec-2014, 12T-06228, Lot #T497035, 31-Dec-2014, K12T-06228A, Lot #T516893, 31-Dec-2014, TAPS-5F-10LT, Lot #T466554, 31-Dec-2014, K12T-03561, Lot #T467852, 31-Dec-2014, K12T-06228, Lot #T497035, 31-Dec-2014, K12T-06228A, Lot #T516893, 31-Dec-2014, K10T-04110B, Lot #T469318, 31-Dec-2014, SPPT-5F-7L/B, Lot #T510218, 31-Dec-2014, K12T-04635A, Lot #T489350, 31-Dec-2014, K12T-04821, Lot #T479729, 31-Dec-2014, K12T-04821, Lot #T508157, 31-Dec-2014, K12T-04581G, Lot #T481065, 31-Dec-2014, K12T-04581J, Lot #T522127, 31-Dec-2014, SPPT-5F-10L/B, Lot #T510217, 31-Dec-2014, K12T-03806F, Lot #T477382, 30-Nov-2014, K12T-04174A, Lot #T496696, 31-Dec-2014, SPPT-5F-7L/B, Lot#T489467, 31-Dec-2014, SPPT-5F-7L/B, Lot#T479775, 31-Dec-2014, K12T-04446A, Lot #T488077, 31-Dec-2014, K12T-06382A, Lot #T472383, 31-Dec-2014, K12T-06382B, Lot #T508372, 31-Dec-2014, K12T-04313A, Lot #T470777, 30-Nov-2014, K12T-04811B, Lot #T473702, 31-Dec-2014, K12T-05367A, Lot #T512415, 31-Dec-2014, K12T-05367A, Lot #T483743, 31-Dec-2014, K12T-06228, Lot #T497035, 31-Dec-2014, K12T-06228A, Lot #T516893, 31-Dec-2014, TAPS-5F-7T, Lot #T491276, 31-Dec-2014, SPPT-5F-10/D, Lot #T512967, 31-Dec-2014, K12T-05723A, Lot #T481007, 31-Dec-2014, K12T-05723A, Lot #T519112, 31-Dec-2014, K12T-05723A, Lot #T481007, 31-Dec-2014, SPPT-5F-10L/B, Lot #T489465, 31-Dec-2014, K12T-06432, Lot #483643, 30-Apr-2014, K12T-06433A, Lot #T483762, 30-Apr-2014, SPPT-5F-10L/B, Lot #T486376, 31-Dec-2014, K12T-04821, Lot #T479729, 31-Dec-2014, K12T-04821, Lot #T508157, 31-Dec-2014, K12T-04013C, Lot #T462916, 31-Dec-2014, K12T-03679D, Lot #T466340, 31-Dec-2014, K12T-04922, Lot #T478906, 31-Jul-2014, K12T-06022A, Lot #T488647, 31-Dec-2014, K12T-05202A, Lot #T461918, 31-Dec-2014, K12T-05770, Lot #T468559, 31-Dec-2014, TAPS-5F-10T, Lot #T481081, 30-Nov-2014, TAPS-5F-10T, Lot #T486379, 31-Dec-2014, SPPT-5F-10L/B, Lot #T510217, 31-Dec-2014, SPPT-5F-7L/B, Lot #T479775, 31-Dec-2014, SPPT-5F-7L/B, Lot #T510218, 31-Dec-2014, SPPT-5F-10/D, Lot #T512967, 31-Dec-2014, TAPS-5F-7T, Lot #T491276, 31-Dec-2014, K10T-05068, Lot #T484886, 31-Dec-2014, K10T-05068, Lot #T489807, 31-Dec-2014, SPPT-5F-10L/B, Lot #T510217, 31-Dec-2014, K12T-06814, Lot #T484880, 31-Dec-2014, K12T-06103A, Lot #T483212, 31-Dec-2014, K12T-06103B, Lot #T489457, 31-Dec-2014, K12T-06819, Lot #T48637, 31-Dec-2014, K12T-05808D, Lot #T487463, 31-Dec-2014, K12T-04248D, Lot #T472624, 31-Dec-2014, K12T-04754C, Lot #T484091, 31-Oct-2014, K12T-04905A, Lot #T480996, 31-Dec-2014, K12T-04906A, Lot #T486267, 30-Nov-2014, K12T-03505D, Lot #T482070, 31-Dec-2014, K12T-05687A, Lot #T452489, 31-Dec-2014, K12T-06488, Lot#T475046, 30-Nov-2014, K12T-06293, Lot #T470868, 31-Dec-2014, SPPT-5F-10/D, Lot#T512967, 31-Dec-2014, SPPT-5F-10L/B, Lot#T510217, 31-Dec-2014, K12T-03661A, Lot#T482127, 31-Dec-2014, K12T-04600B, Lot #T479316, 31-Oct-2014, K12T-06701, Lot #475118, 31-Dec-2014, K12T-05028A, Lot#T492723, 31-Dec-2014, K12T-05028A, Lot#T512813, 31-Dec-2014, K12T-05418, Lot#T479323, 31-Dec-2014, K12T-02169B, Lot#T514568, 30-Jun-2014, SPPT-5F-7/D, Lot#T489466, 31-Dec-2014, K12T-02957A, Lot#T487024, 31-Dec-2014, K12T-06412, Lot#T508373, 31-Dec-2014, K12T-06412, Lot#T484904, 31-Dec-2014, K12T-05626, Lot #T479176, 31-Dec-2014, K12T-05807, Lot#T441132,31-Dec-2014, K12T-03975A, Lot #T468577, 31-Dec-2014, K12T-03347, Lot#T478804, 31-Dec-2014, SPPT-5F-7L/B, Lot#T479775, 31-Dec-2014, K12T-04864D, Lot#T477840, 31-Dec-2014, SPPT-5F-7L/B, Lot#T510218, 31-Dec-2014, K12T-04318, Lot#T449731, 31-Dec-2014, K12T-04553A, Lot#T449212, 31-May-2014, SPPT-5F-10L/B, Lot#T489465, 31-Dec-2014, SPPT-5F-10L/B, Lot#T510217, 31-Dec-2014, K12T-05160A, Lot#T495767, 31-Dec-2014, 12T-06462A, Lot#T489802, 31-Dec-2014, K12T-06463, Lot#T482254, 31-Dec-2014, K12T-01852H, Lot#T483814, 31-Dec-2014, K12T-02437A, Lot#T476279, 31-Dec-2014, K12T-04530B, Lot#T500161, 31-Dec-2014, K12T-04530B, Lot#T478216, 31-Dec-2014, K12T-05129B, Lot#T477845, 31-Dec-2014, SPPT-5F-7L/B, Lot#T510218 , 31-Dec-2014, K12T-05404, Lot#T477846, 31-Dec-2014, TAPS-5F-10LT, Lot#T489468, 31-Dec-2014, K12T-04707, Lot#T477980, 31-Dec-2014, K10T-05165A, Lot#T487440, 31-Dec-2014, K12T-06322, Lot#T479735, 31-Dec-2014, SPPT-5F-7L/B, Lot#T479775, 31-Dec-2014, SPPT-5F-7L/B, Lot#T510218, 31-Dec-2014, K12T-04734B, Lot#T478898, 31-Dec-2014, K12T-01751J, Lot#T479859, 31-Dec-2014, K12T-01751J, Lot#T516420, 31-Dec-2014, K12T-01751J, Lot#T479859, 31-Dec-2014, K12T-03675A, Lot#T510051, 31-Dec-2014, K12T-02761F, Lot#T470763, 31-Dec-2014, K12T-05728, Lot#T487358, 31-Dec-2014, SPPT-5F-7L/B, Lot#T479775, 31-Dec-2014, K12T-05586, Lot#T483201, 31-Dec-2014, K12T-02850D, Lot#T441322, 31-Dec-2014, K12T-03228B, Lot#T479162, 31-Dec-2014, K12T-03993A, Lot#T495757, 31-Dec-2014, TAPS-5F-10T, Lot#T481081, 30-Nov-2014, K12T-03993A, Lot#T495757, 31-Dec-2014, TAPS-5F-10T, Lot#T489469, 31-Dec-2014, K12T-04259C, Lot#T476291, 31-Dec-2014, K12T-03048A, Lot#T508582, 31-Dec-2014, K12T-02563B, Lot#T489333, 31-Dec-2014, K12T-02470A, Lot #T483609, 31-Dec-2014, K12T-03063, Lot#T489566, 31-Dec-2014, K12T-01652H, Lot#T464313, 31-Dec-2014, K12T-04848B, Lot#T511337, 31-Dec-2014, SPPT-5F-10/D, Lot#T485986, 31-Dec-2014, SPPT-5F-7L/B, Lot#T510218, 31-Dec-2014, TAPS-5F-7T, Lot # T491276, 31-Dec-2014, K12T-02185G, Lot#T491200, 31-Dec-2014, K12T-03063, Lot#T489566, 31-Dec-2014, K12T-05648, Lot#T518046, 31-Dec-2014, SPPT-5F-7/D, Lot#T489466, 31-Dec-2014, K12T-04013C, Lot#T462916, 31-Dec-2014, K12T-04201A, Lot#T472623, 31-Oct-2014, SPPT-5F-10L/B, Lot#510217, 31-Dec-2014, K12T-04013C, Lot#T462916, 31-Dec-2014, SPPT-5F-7L/B, Lot#T479775, 31-Dec-2014, K10T-01343D, Lot#T487470, 30-Jun-2014, K12T-06221, Lot#T484385, 31-Dec-2014, K12T-04208B, Lot#T483724, 31-Dec-2014
Recalling Firm/
Manufacturer
Merit Medical Systems, Inc.
12701 N Kingston Ave
Chester, Virginia 23836-2700
For Additional Information Contact Joyce G. Braxton
804-416-1030
Manufacturer Reason
for Recall
Custom Procedural Trays/Kits contain 1% Lidocaine HCl injection which were recalled because one confirmed customer report where visible particulate were found in the primary product container in the form of dark red/black particles. The particular matter may dislodged through the tissue and could possibly cause a pneumothorax or hemothorax.
FDA Determined
Cause 2
OTHER/UNDETERMINED: Pending
Action Merit Medical sent via FedEx an "URGENT PRODUCT RECALL NOTICE" dated September 30, 2013 to all affected customers. The letter identified the affected product, description of problem and recommended user actions to be taken. Consignees were given two options: 1) Based upon immediate patient need, they can keep the affected trays and discard the Lidocaine at the point of use (a) Merit will provide the customer with warning labels, along with replacement Lidocaine for each affected tray based on their current inventory or (b) The label will instruct the user to dispose of the Lidocaine at the point of use and replace it with the new lot. 2) They may return all affected trays remaining in inventory to Merit for credit or replacement. Consignees were requested to complete and sign the Customer Response Form and immediately fax a copy of the completed Customer Response Form to Joyce Braxton at 1-801-316-4852 and mail the completed original Customer Response Form using the provided postage-paid, self-addressed envelope to Merit. If you choose to return the trays, please return the trays as instructed on the Customer Response Form. If customers choose to keep the trays, Merit can send them labels and Lidocaine upon receipt of the Customer Response Form. If you have any questions, please call 1-804-416-1048 and/or 1-801-316-4822. For questions regarding this recall call 804-416-1030.
Quantity in Commerce 20, 872 trays
Distribution Nationwide Distribution including AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NY, OH, OK, PA, SC, TN, TX, UT, VA, WA, WI, WV.
Total Product Life Cycle TPLC Device Report

 
1 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
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