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U.S. Department of Health and Human Services

Class 2 Device Recall PROLINE CT POWER INJECTABLE CVC, MODELS CTLINES5

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 Class 2 Device Recall PROLINE CT POWER INJECTABLE CVC, MODELS CTLINES5see related information
Date Initiated by FirmApril 11, 2008
Date PostedSeptember 16, 2008
Recall Status1 Terminated 3 on October 28, 2008
Recall NumberZ-1910-2008
Recall Event ID 47856
510(K)NumberK053345 
Product Classification Long term greater than 30 days therapeutic Intravascular Catheter - Product Code LJS
ProductUSCT5D, Pro-PICC CT 5F x 55 cm Dual Lumen. infusion catheter insertion kit. The product is shipped 5 units per box and is indicated for short and long term access to the central venous system.
Code Information Lot number MAPA880
Recalling Firm/
Manufacturer		 Medical Components, Inc dba MedComp
1499 Delp Dr
Harleysville PA 19438-2936
For Additional Information ContactSusan Smith, RN BSN
215-256-4201
Manufacturer Reason
for Recall		kit contains incorrect component
FDA Determined
Cause 2		Mixed-up of materials/components
ActionThe recalling firm issued recall letters on 4/11/08 via UPS delivery. The letters informed the customers of the problem and the need to return the product.
Quantity in Commerce250 units
DistributionThe products were shipped to customers in PA and TX.
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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database510(K)s with Product Code = LJS
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