Quick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Common Links
  • Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

Class 1 Device Recall Centurion

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 


New Search Back to Search Results
  Class 1 Device Recall Centurion see related information
Date Initiated by Firm November 15, 2023
Date Posted February 25, 2024
Recall Status1 Open3, Classified
Recall Number Z-1136-2024
Recall Event ID 93800
Product Classification Dressing change tray - Product Code OXQ
Product Centurion Kits, trays, and packs labeled as follows:
a) A C DAILY WET KIT, REF DM405A;
b) BWH DAILY DRIVELINE MGMT KIT, REF DM640;
c) DAILY DRIVELINE MGMT SYSTEM, REF DM600;
d) DAILY MAINTENANCE SYSTEM LVAD, REF DM870A;
e) DAILY MAINTENANCE SYSTEM LVAD, REF DM870A;
f) DRESSING CHANGE TRAY WITHOUT DRESSING, REF DT21465B;
g) DRIVELINE MANAGEMENT SYSTEM, REF DT18905;
h) DRIVELINE MANAGEMENT SYSTEM-DAILY, REF DM610;
i) DRIVELINE MGMT TRAY W/O ANCHOR, REF DT18210;
j) DRIVELINE MGMT. KIT WITH SILVER ALGINATE, REF DT18695A;
k) LVAD DAILY PATIENT CHANGE KIT, REF DM630;
l) LVAD DAILY PATIENT CHANGE KIT, REF DM630;
m) LVAD DRIVELINE MGMT KIT, SENSITIVE SKIN, REF DT19005A;
n) LVAD MAINTENANCE KIT - LESS THAN 6 MOS., REF DM1060;
o) LVAD SENSITIVE KIT, REF DM525A;
p) MMC DAILY DRIVELINE MGMT KIT, REF DM850;
q) PATIENT DRESSING CHANGE KIT SW, REF DT17355;
r) PEDIATRIC PORT ACCESS BUNDLE, REF DT19835B;
s) PORT ACCESS KIT, REF DT22575A;
t) PORT ACCESS TRAY, REF DT20845B;
u) PORT DRESSING CHANGE TRAY, REF DT20885B;
v) PORT DRESSING CHANGE KIT, REF DT21585B;
w) PORT DRESSING CHANGE KIT, REF DYNDC2815A;
x) PORT KIT, REF DT22270A;
y) UOU LVAD DRIVELINE MGMT COMPLICATIONS, REF DM330A;
z) UOU LVAD DRIVELINE MGMT COMPLICATIONS, REF DM330A;
aa) VAD DRESSING CHANGE TRAY, REF DM875;
bb) VAD DRESSING CHANGE TRAY, REF DM875;
cc) VAD DRIVELINE MANAGEMENT KIT HW, REF DM1105
Code Information a) REF DM405A, UDI/DI 00653160322217 (case), 10653160322214 (unit), Lot Numbers: 2022042580, 2022070580, 2022071180, 2022071880, 2022072580, 2022080180, 2023040380, 2023050180, 2023073180, 2023102380; b) REF DM640, UDI/DI 00653160289602 (case), 10653160289609 (unit), Lot Numbers: 2022041390; c) REF DM600, UDI/DI 00653160352610 (case), 10653160352617 (unit), Lot Numbers: 2022041880, 2023081480; d) REF DM870A, UDI/DI 00653160348217 (case), 10653160348214 (unit), Lot Numbers: 2022020780; e) REF DM870A, UDI/DI 00653160352382 (case), 10653160352389 (unit), Lot Numbers: 2022041880; f) REF DT21465B, UDI/DI 00653160350005 (case), 10653160350002 (unit), Lot Numbers: 2022012550, 2022032880, 2022032980, 2022082280; g) REF DT18905, UDI/DI 00653160275063 (case), 10653160275060 (unit), Lot Numbers: 2022040590, 2022041390, 2022081990, 2023011290, 2023012490, 2023051190, 2023061290, 2023081590, 2023101790; h) REF DM610, UDI/DI 00653160294002 (case), 10653160294009 (unit), Lot Numbers: 2022050980, 2022072580, 2022072680, 2022080180, 2022080880, 2022081580, 2023050880, 2023061280, 2023072480, 2023081480, 2023082880; i) REF DT18210, UDI/DI 00653160352658 (case), 10653160352655 (unit), Lot Numbers: 2022042290; j) REF DT18695A, UDI/DI 00653160315127 (case), 10653160315124 (unit), Lot Numbers: 2022042790, 2022103190, 2023012790, 2023032490, 2023032890, 2023052690, 2023072890, 2023092190; k) REF DM630, UDI/DI 00653160288568 (case), 10653160288565 (unit), Lot Numbers: 2022033190; l) REF DM630, UDI/DI 00653160352450 (case), 10653160352457 (unit), Lot Numbers: 2022050590, 2022111790, 2023011990, 2023031590, 2023042490, 2023062690, 2023081490; m) REF DT19005A, UDI/DI 00653160349801 (case), 10653160349808 (unit), Lot Numbers: 2022050980; n) REF DM1060, UDI/DI 00653160352443 (case), 10653160352440 (unit), Lot Numbers: 2022050280, 2023070380, 2023082180, 2023082880, 2023101680; o) REF DM525A, UDI/DI 00653160352511 (case), 10653160352518 (unit), Lot Numbers: 2022042580, 2022080180, 2022112880, 2022112980; p) REF DM850, UDI/DI 00653160307047 (case), 10653160307044 (unit), Lot Numbers: 2022040490; q) REF DT17355, UDI/DI 00653160265170 (case), 10653160265177 (unit), Lot Numbers: 2022082290, 2022090190, 2022112990, 2023012490, 2023042090, 2023070690, 2023073190, 2023081190; r) REF DT19835B, UDI/DI 00653160350128 (case), 10653160350125 (unit), Lot Numbers: 2022021150, 2022022250; s) REF DT22575A, UDI/DI 00653160349825 (case), 10653160349822 (unit), Lot Numbers: 2022011350, 2022052380, 2022052480, 2022052580; t) REF DT20845B, UDI/DI 00653160348842 (case), 10653160348849 (unit), Lot Numbers: 2022010750, 2022031450; u) REF DT20885B, UDI/DI 00653160348422 (case), 10653160348429 (unit), Lot Numbers: 2022052380; v) REF DT21585B, UDI/DI 00653160351439 (case), 10653160351436 (unit), Lot Numbers: 2022042050, 2022051680; w) REF DYNDC2815A, UDI/DI 00653160348316 (case), 10653160348313 (unit), Lot Numbers: 2022031450, 2022041180, 2022041280, 2022041380, 2022062080; x) REF DT22270A, UDI/DI 00653160348255 (case), 10653160348252 (unit), Lot Numbers: 2022011350, 2022022880; y) REF DM330A, UDI/DI 00653160324051 (case), 10653160324058 (unit), Lot Numbers: 2023081090, 2022042580, 2022103180, 2023020680, 2023042480; z) REF DM330A, UDI/DI 00653160366655 (case), 10653160366652 (unit), Lot Numbers: 2023101190; aa) REF DM875, UDI/DI 00653160309614 (case), 10653160309611 (unit), Lot Numbers: 2022040490; bb) REF DM875, UDI/DI 00653160352504 (case), 10653160352501 (unit), Lot Numbers: 2022041290, 2022042590, 2022051990, 2022081990, 2022120990, 2023042790, 2023053090, 2023071490, 2023101290; cc) REF DM1105, UDI/DI 00653160343519 (case), 10653160343516 (unit), Lot Numbers: 2022032490
Recalling Firm/
Manufacturer		 MEDLINE INDUSTRIES, LP - Northfield
3 Lakes Dr
Northfield IL 60093-2753
For Additional Information Contact Karin Johnson
886-359-1704
Manufacturer Reason
for Recall		 Medline Industries, LP is recalling certain kits and trays that were manufactured using specific lots of Nurse Assist (as components): 0.9% Sodium Chloride Irrigation USP, Sterile Water for Irrigation USP and Saline Flush Syringe. Nurse Assist issued a recall due to the potential lack of sterility, which could result in the solution being non sterile.
FDA Determined
Cause 2		 Nonconforming Material/Component
Action MEDLINE issued an IMMEDIATE ACTION REQUIRED NURSE ASSIST PRODUCT RECALL notice to its consignees on 11/16/2023 via USPS first class mail and email. The notice explained the problem, requested log on to their portal to identify the products and check their inventory so the product could be quarantined. Once Medline receives the completed response form, over-labels will be shipped to the consignee. Medline Industries, LP instructed customers to over-label the convenience kits with a warning label indicating to remove the sodium chloride irrigation or Sterile water and replace from a different sterile supply. Distributors or consignees who further distributed the affected products were directed to notify their customers. For questions, contact the Recall Department at 866-359-1704 or recalls@medline.com.
Quantity in Commerce 113249 units
Distribution Distribution US nationwide including Puerto Rico, Canada, UAE, and Panama
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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
-
-