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U.S. Department of Health and Human Services

Class 2 Device Recall Custom procedural convenience kits and trays

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 Class 2 Device Recall Custom procedural convenience kits and trayssee related information
Date Initiated by FirmNovember 29, 2023
Date PostedJanuary 26, 2024
Recall Status1 Open3, Classified
Recall NumberZ-0816-2024
Recall Event ID 93656
Product Classification Anesthesia kit - Product Code OFQ
ProductCustom procedural convenience kits and trays, anesthesia, labeled as: a) HEART ANESTHESIA BUNDLE NS, Kit Number LMHA01V; b) OR/Anesthesia Central Line Insertion Kit, Kit Number UIAN43L
Code Information a) LMHA01V: No UDI/DI, Lot Numbers: 702221, exp. 10/25/223; 654221, exp. 12/12/2023; 954231, exp. 2/15/2024; 903231, exp. 4/7/2024; b) UIAN43L: No UDI/DI, Lot Numbers: 654221, exp. 12/12/2023; 991231, exp. 1/9/2024
Recalling Firm/
Manufacturer
American Contract Systems, Inc.
7802 E Telecom Pkwy
Temple Terrace FL 33637-0928
For Additional Information ContactMarlene Jones
470-280-4277
Manufacturer Reason
for Recall
During an internal investigation, ACS identified that several components were "piggybacked" to ACS trays and subjected to the ACS sterilization process. There is no supporting documentation stating the "piggybacked" components were assessed to determine if they were suitable for exposure to elevated temperatures for an extended period of time and further exposure to sterilization. As a result, the piggybacked components may (1) have a loss/lack of functionality, (2) loss of drug efficacy, if applicable, and (3) may have had higher than specified EO residuals.
FDA Determined
Cause 2
Process control
ActionOwens & Minor issued an URGENT: MEDICAL DEVICE CORRECTION notice to it consignees on 11/29/2023 via email. Then notice explained the problem, risk to health, and requested the following actions be taken: If you received any of the batches/lots identified, please segregate and quarantine all affected product. Add warning labels to all kits/cases impacted: A labeling template is enclosed for printing warning labels which should be affixed to all affected product in inventory. This label should be affixed to each affected kit and case in a prominently visible location to end-users. The location chosen should not cover any other critical product information found on existing product labeling. " Customers (end-users): If you received product from a distributor, please contact the distributor or your sales representative with any questions you may have. " Distributors: If any of the affected kits identified above were further distributed, please ensure all end-users are appropriately notified of this field correction and maintain records of effectiveness. Report any quality problems or adverse events associated with the products listed in this notification to complaints@owens-minor.com.
Quantity in Commerce182 units
DistributionUS Nationwide distribution.
Total Product Life CycleTPLC 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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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