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U.S. Department of Health and Human Services

Class 2 Device Recall Kit, surgical instrument, disposable

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  Class 2 Device Recall Kit, surgical instrument, disposable see related information
Date Initiated by Firm December 02, 2019
Date Posted January 06, 2020
Recall Status1 Terminated 3 on January 24, 2023
Recall Number Z-0779-2020
Recall Event ID 84435
Product Classification Kit, surgical instrument, disposable - Product Code KDD
Product Medical convenience trays and kits, labeled as:
Medical Action Industries, Inc.:
***CVC*** Clear Sequence Change Kit, REF 77070B
***DIALYSIS*** Clear Sequence Change Kit, REF 77068B
***PEDS CVC*** Clear Sequence Change Kit, REF 77190B
***PICC*** Clear Sequence Change Kit, REF 77069B
Adult Central Line Dressing Change Kit, REF 74636C
Central Line Dressing Kit, VCU, REF 57647B
Central Line Removal Kit, REF 78631B
Chest Tube Cleaning Kit, REF 73000
CVC Dressing Change Kit, REF 80643D
Dressing Change Kit, REF 71538
ED Suture Set, REF 59299C
Laceration Kit, REF 59806B
Laceration Tray, REF 56957
Laceration Tray, REF 57888B
Laceration Tray, REF 59387
Laceration Tray, REF 59387B
Laceration Tray, REF 69477B
Laceration Tray, REF 71582
LACERATION/SUTURE REMOVAL, REF 72347
LACERATION/SUTURE REMOVAL, REF 72347B
Pediatric Central Line Dressing Kit, REF 74635C
PICC Central Line Dressing Kit VCU, REF 59589C
PICC/CVC/Central /Dialysis Clear Sequence Dressing Kit, REF 78197
Suture Kit, REF 59836
Trach Care Kit, Kit de Traqueostomia, REF LH_68162B
Trach Care Tray, REF 56791B
Trach Care Tray, REF 75378
Tracheostomy Care Tray, REF 4129
Tracheostomy Tray, REF 80209
Wound Care Kit, REF 68330
Wound Care Tray, REF 68358

MEDICHOICE:
Tracheostomy Kit, Reorder: TRAC1002

THERAPY SUPPLY HOUSE:
VAD DRESSING CHANGE KIT, Reorder # 76512B

Code Information ***CVC*** Clear Sequence Change Kit, REF 77070B Lot Numbers: 0000250140 0000250814 0000251345 0000252860 0000253786 0000254661 0000255539 0000256372 0000256478 0000256896 0000257916 0000259710 0000260807 0000261950 0000262411 0000262853 0000263255 0000248930 0000248004 0000245391  ***DIALYSIS*** Clear Sequence Change Kit, REF 77068B Lot Numbers: 0000255949 0000256795 0000258076 0000260410 0000261183 0000262656 0000257187  ***PEDS CVC*** Clear Sequence Change Kit, REF 77190B Lot Numbers: 0000261186 0000261949 0000263402 0000245684  ***PICC*** Clear Sequence Change Kit, REF 77069B Lot Numbers: 0000250126 0000250752 0000251646 0000252449 0000255455 0000256371 0000256796 0000256897 0000257625 0000258163 0000260908 0000262404 0000262852 0000249190 0000248773  Adult Central Line Dressing Change Kit, REF 74636C Lot Numbers: 0000250172 0000251684 0000251775 0000252730 0000255062 0000255669 0000256289 0000257970 0000259210 0000259867 0000260734 0000263279 0000264415 0000248260  Central Line Dressing Kit, VCU, REF 57647B Lot Numbers: 0000249224 0000248261  Central Line Removal Kit, REF 78631B Lot Numbers: 0000258405 0000264395  Chest Tube Cleaning Kit, REF 73000 Lot Numbers: 0000254875 0000256642 0000257028 0000261394 0000248107 0000247565 0000246033 0000244487  CVC Dressing Change Kit, REF 80643D Lot Numbers: 0000263867  Dressing Change Kit, REF 71538 Lot Numbers: 256205 0000256888  ED Suture Set, REF 59299C Lot Numbers: 0000250820 0000252658 0000254734 0000255276 0000257072 0000260553 0000262731  Laceration Kit, REF 59806B Lot Numbers: 0000250817 0000252940 0000253601  Laceration Tray, REF 56957 Lot Numbers: 0000255242 0000257303 0000258844 0000260451 0000263359  Laceration Tray, REF 57888B Lot Numbers: 0000255947 0000257545 0000257931 0000259064 0000260150 0000261007 0000262982 0000263363  Laceration Tray, REF 59387 Lot Numbers: 0000248176 0000247839  Laceration Tray, REF 59387B Lot Numbers: 0000255606 0000256080 0000256505 0000259051 0000259659 0000260338 0000261192 0000262714 0000263075  Laceration Tray, REF 69477B Lot Numbers: 0000256510 0000261832 0000263335  Laceration Tray, REF 71582 Lot Numbers: 0000250813 0000252624 0000248502  LACERATION/SUTURE REMOVAL, REF 72347 Lot Numbers: 0000250772 0000248306  LACERATION/SUTURE REMOVAL, REF 72347B Lot Numbers: 0000256124 0000258422 0000259257 0000260325 0000261864 0000263377 0000263889  Pediatric Central Line Dressing Kit, REF 74635C Lot Numbers: 0000254205 0000255191 0000258646 0000259884 0000263819 0000249687 0000248262  PICC Central Line Dressing Kit VCU, REF 59589C Lot Numbers: 0000251690 0000252258 0000248259  PICC/CVC/Central /Dialysis Clear Sequence Dressing Kit, REF 78197 Lot Numbers: 0000262582 0000263685  Suture Kit, REF 59836 Lot Numbers: 0000250818 0000252923 0000253808 0000254794 0000258842 0000260452 0000263353  Trach Care Kit, Kit de Traqueostomia, REF LH_68162B Lot Numbers: 0000256422 0000258614  Trach Care Tray, REF 56791B Lot Numbers: 0000252599 0000252842 0000253529 0000255449 0000257898 0000258435 0000263562 0000257350  Trach Care Tray, REF 75378 Lot Numbers: 0000250819 0000252601 0000255861 0000257905 0000259371  Tracheostomy Care Tray, REF 4129 Lot Numbers: 0000253196 0000254514 0000255528 0000256340 0000258894 0000261328  Tracheostomy Tray, REF 80209 Lot Numbers: 0000253370 0000256337 0000257128 0000257903 0000258437 0000259368 0000262397  Wound Care Kit, REF 68330 Lot Numbers: 0000254655 0000255948 0000257266 0000257856 0000259029 0000259816 0000261467 0000263582  Wound Care Tray, REF 68358 Lot Numbers: 0000255446 0000257267 0000259030 0000259817 0000264334   MEDICHOICE:  Tracheostomy Kit, Reorder: TRAC1002 Lot Numbers: 0000253474 0000255267 0000256338 0000259025 0000259351 0000262396 0000263581   THERAPY SUPPLY HOUSE: VAD DRESSING CHANGE KIT, Reorder # 76512B Lot Numbers: 0000252929 0000254713   
Recalling Firm/
Manufacturer
Medical Action Industries, Inc. 306
25 Heywood Road
Arden NC 28704-9302
For Additional Information Contact Marlene Jones
828-338-7568
Manufacturer Reason
for Recall
The kits contain a bottle of saline solution which may exceed the USP specified pH requirements of 4.5-7.0.
FDA Determined
Cause 2
Other
Action The firm initiated the recall by letter on 12/03/2019. The firm requested distributors apply stickers to the all affected kits in inventory and further notify their customers with a separate letter. End users are requested to discard the affected product.
Quantity in Commerce 9924 cases
Distribution MA, RI, PA, MD, VA, NC, SC, GA, FL, KY, OH, IN, MI, IL, MO, NE, LA, TX, AZ, CA, WA
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.
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