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U.S. Department of Health and Human Services

Class 2 Device Recall Arrow EVOLUTION Pressure Injectavle PICC with Chloragard Antimicrobial and Antithrombogenic Technol

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  Class 2 Device Recall Arrow EVOLUTION Pressure Injectavle PICC with Chloragard Antimicrobial and Antithrombogenic Technol see related information
Date Initiated by Firm June 12, 2017
Date Posted June 27, 2017
Recall Status1 Terminated 3 on September 06, 2018
Recall Number Z-2698-2017
Recall Event ID 77604
510(K)Number K112896  
Product Classification Catheter,intravascular,therapeutic,long-term greater than 30 days - Product Code LJS
Product Arrow EVOLUTION Pressure Injectable PICC with Chlorag+ard Antimicrobial and Antithrombogenic Technology
Code Information Device Listing # D149129 Material # ASK-45552-RWJ4 PR-45552-HPHNL
Recalling Firm/
Arrow International Inc
2400 Bernville Rd
Reading PA 19605-9607
For Additional Information Contact
Manufacturer Reason
for Recall
Arrow is recalling additional lots that were identified as part of an active recall. Arrow is recalling the affected product due to the possibility that the catheter peel-away component hub tabs may prematurely detach when the practitioner begins to peel apart the sheath body from the catheter.
FDA Determined
Cause 2
Device Design
Action Teleflex/Arrow International mailed an Urgent Medical Device Recall Notification Letter to affected customers on 06/12/2017 to inform them of the issue. Arrow requested that customers examine their inventory immediately for the affected lots and discontinue use and quarantine any products with the associated product codes identified in the notice and complete the Recall Acknowledgement Form and fax back to the number included in the notice.
Quantity in Commerce 9,037 units in the U.S. and 4,500 units internationally
Distribution Distributed to SC, AL, NJ, IN, MA, GA, CA, PA, AZ, VA , WA and Bangkok
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 = LJS and Original Applicant = ARROW INTERNATIONAL(SUBSIDIARY OF TELEFLEX INC.)