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U.S. Department of Health and Human Services

Class 2 Device Recall JVAC Bulb Suction Reservoir

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  Class 2 Device Recall JVAC Bulb Suction Reservoir see related information
Date Initiated by Firm March 24, 2011
Date Posted July 07, 2011
Recall Status1 Terminated 3 on January 10, 2014
Recall Number Z-2758-2011
Recall Event ID 58335
510(K)Number k953655  
Product Classification Endoscope and/or accessories - Product Code KOG
Product J-Vac Bulb Suction Reservoir, Manufactured for: Ethicon, Inc. Somerville, New Jersey, 08876-0151.

Closed Wound Drainage Systems have been used as an adjunct in the following specialties to evacuate potentially detrimental collection of certain fluids (e.g. pus, extravascular blood, bile) from wounds in body cavities and to reduce the risk of infection.
Code Information JVAC"Reservoir 2160 J100214 Mar2015 JVAC"Reservoir 2160 J100216 Apr2015 JVAC"Reservoir 2160 J100217 Apr2015 JVAC"Reservoir 2160 J100719 Apr2015 JVAC"Reservoir 2160 J100720 Apr2015 JVAC"Reservoir 2160 J100721 Apr2015 JVAC"Reservoir 2160 J101077 Apr2015 JVAC"Reservoir 2160 J1011225 Aug2015 JVAC"Reservoir 2160 J1012122 Aug2015 JVAC"Reservoir 2160 J101305 Apr2015 JVAC"Reservoir 2160 J101306 Apr2015 JVAC"Reservoir 2160 J101307 Apr2015 JVAC"Reservoir 2160 J101308 Apr2015 JVAC"Reservoir 2160 J1013740 Aug2015 JVAC"Reservoir 2160 J1013741 Aug2015 JVAC"Reservoir 2160 J1020794 Nov2015 JVAC"Reservoir 2160 J1020795 Nov2015 JVAC"Reservoir 2160 J1020886 Nov2015 JVAC"Reservoir 2160 J1020887 Nov2015 JVAC"Reservoir 2160 J1021787 Dec2015 JVAC"Reservoir 2160 J1022723 Dec2015 JVAC"Reservoir 2160 J102502 May2015 JVAC"Reservoir 2160 J102503 May2015 JVAC"Reservoir 2160 J102504 May2015 2379_01_09AS Page 9 of 9 Product Name Product Code Lot # Product Expiration Date JVAC"Reservoir 2160 J102505 May2015 JVAC"Reservoir 2160 J102977 May2015 JVAC"Reservoir 2160 J102979 May2015 JVAC"Reservoir 2160 J102980 Jun2015 JVAC"Reservoir 2160 J102981 Jun2015 JVAC"Reservoir 2160 J103529 Jun2015 JVAC"Reservoir 2160 J103530 Jun2015 JVAC"Reservoir 2160 J106416 Jul2015 JVAC"Reservoir 2160 J106418 Jul2015 JVAC"Reservoir 2160 J107410 Jul2015 JVAC"Reservoir 2160 J108393 Jul2015 JVAC"Reservoir 2160 J108394 Jul2015 JVAC"Reservoir 2160 J108395 Jul2015 JVAC"Reservoir 2160 J108396 Jul2015 JVAC"Reservoir 2160 J108397 Jul2015 JVAC"Reservoir 2160 J108398 Jul2015 JVAC"Reservoir 2160 J108401 Jul2015 JVAC"Reservoir 2160 W00024418 Mar2015 JVAC"Reservoir 2160 W00025494 Mar2015
Recalling Firm/
Manufacturer		 Ethicon, Inc.
US Highway 22 West
Somerville NJ 08876
For Additional Information Contact Ms. Melissa Day
908-218-2842
Manufacturer Reason
for Recall		 There is a potential for the sterile barrier to be compromised in multiple lots of Blake silicone drains, Blake silicone drain kits, Blake cardio connectors, J-VAC reservoirs, J-VAC drain adaptors.
FDA Determined
Cause 2		 Packaging process control
Action Ethicon, Inc. sent an "URGENT VOLUNTARY PRODUCT RECALL" letter dated March 24& 25, 2011 to all affected customers. The letter describes the product, problem, and the actions to be taken by the customers. The letter instructs customers to discontinue use of the products and to return the products to Stericycle. The letter includes shipping labels for product return. Ethicon will send replacement product. Customers are asked to return a completed Business Reply Card to Stericycle regardless of whether or not they have the products subject to this recall. Customers with questions regarding this recall are directed to call 1-866-664-1401.
Quantity in Commerce 846,990
Distribution Worldwide Distribution-- USA (nationwide) and Puerto Rico and the countries of Armenia, Australia, Austria, Azerbaijan, Columbia, Cyprus, Czech Republic, Denmark, French Guinea, French Polynesian, Germany, Israel, Italy, Japan, Kuwait , Netherlands, New Caledonia, New Zealand, Norway, Singapore, Slovenia, South Africa, Spain, Belarus, Belgium, Brazil, Canada, Chile, Dominica Republic, Egypt, Estonia, Finland, France, Greece, Guadeloupe, Hong Kong, Hungary, Ireland, Latvia, Lithuania, Malaysia, Martinique, Mozambique, Portugal, Reunion, Russia, Saudia Arabia, Sweden, Switzerland, Ukraine, and United Kingdom.
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = KOG and Original Applicant = JOHNSON & JOHNSON MEDICAL, INC.
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