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U.S. Department of Health and Human Services

Class 2 Device Recall Portex ProVent Arterial Blood Sampling Kit with Dry Lithium Heparin

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  Class 2 Device Recall Portex ProVent Arterial Blood Sampling Kit with Dry Lithium Heparin see related information
Date Initiated by Firm June 22, 2018
Create Date February 15, 2019
Recall Status1 Terminated 3 on October 05, 2020
Recall Number Z-0842-2019
Recall Event ID 80829
510(K)Number K952516  
Product Classification Tubes, vials, systems, serum separators, blood collection - Product Code JKA
Product Aplicare Povidone Iodine Prep Pads packaged within Portex Pro-Vent Arterial Blood Sampling Kit with Dry Lithium Heparin for Gases and Electrolytes, models 4589P-1, 4591EG-1, 4591P-1, 4599P-1, 4611LH, 4611P-1, 4620EG-1, 4620P-1, 4640LH, 4640P-1, 4649P-1, 4660EG-1, 4660P-1, 4699LH, 4699P-1, G1325, G1412, G1481, G1509, G1548, G1581, G1586, G1602, G1627, G1632, G1634, G1671, G1675, G1716, G1724, G1773, and G1807. The firm name on the label is Smiths Medical ASD, Inc., Keene, NH.
Code Information Product with expiration dates between 11/30/2016 and 5/31/2020.
Recalling Firm/
Manufacturer
Smiths Medical ASD Inc.
6000 Nathan Ln N
Minneapolis MN 55442-1690
Manufacturer Reason
for Recall
The povidone iodine prep pads packaged with the arterial blood sampling kits will not maintain the iodine potency through its labeled 36-month expiration dating.
FDA Determined
Cause 2
Under Investigation by firm
Action The recalling firm issued letters via UPS tracked mail on 6/22/2018 and later again to additional customers on 7/19/2018. An amended letter was issued on 9/20/2018 via UPS tracked mail to include some model numbers that were inadvertently omitted in the previous letter issuance.
Quantity in Commerce Approx. 28,578,939 kits for both products
Distribution Distribution was nationwide, including Puerto Rico. There was also military/government distribution. Foreign distribution was made to Canada, United Arab Emirates, Bahamas, Costa Rica, Latvia, and Saudi Arabia.
Total Product Life Cycle TPLC Device Report

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 = JKA and Original Applicant = SMITHS INDUSTRIES MEDICAL SYSTEMS, INC.
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