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U.S. Department of Health and Human Services

Class 1 Device Recall MEDLINE

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  Class 1 Device Recall MEDLINE see related information
Date Initiated by Firm November 15, 2023
Date Posted February 25, 2024
Recall Status1 Open3, Classified
Recall Number Z-1096-2024
Recall Event ID 93800
Product Classification Cardiovascular procedure kit - Product Code OEZ
Product MEDLINE Kits, trays, and packs labeled as follows:
a) DIALYSIS FISTULA KIT, REF DYNDC3106,
b) ENDO KIT, REF DYKE1346D,
c) ENDO KIT, REF DYKE1892A,
d) ENDO KIT W/ BLUE TOTE BAG, REF DYKE1648G,
e) ENDO KIT W/ BLUE TOTE BAG, REF DYKE1648I,
f) FREQUENT DAILY VAD, REF DYNDC3184,
g) IMPLANTED VASCULAR ACCESS, REF DYNDC2842,
h) INFANT COARTATION PACK, REF DYNJ54822D,
i) INFANT OPEN HEART PUMP, REF DYNJ904068D,
j) INFUSA PORT DRESSING KIT, REF DYNDC3192,
k) LVAD DRIVELINE MANAGEMENT KIT, REF DM1165,
l) LVAD DRIVELINE MANAGEMENT KIT, REF DM1165B,
m) OPEN HEART ACCESSORY CDS, REF CDS984289K,
n) PACEMAKER PK SHSC-LF, REF DYNJ46785C,
o) PERICARDIAL KIT, REF DYNDA2212B,
p) PK, RADIOLOGY-PORTSMOUTH, REF DYNJ44087B,
q) PUH PERCUTANEOUS ECMO, REF DYNJ907554A,
r) PUH PERCUTANEOUS ECMO, REF DYNJ907554C
Code Information a) REF DYNDC3106, UDI/DI 40193489913270 (case), 10193489913279 (unit), Lot Numbers: 21LBT706, 22CBE273; b) REF DYKE1346D, UDI/DI 40195327114085 (case), 10195327114084 (unit), Lot Numbers: 22GBO510, 23BBG861, 23CBM313, 23EBN617, 23FBU655, 23GBR877, 23IBH963; c) REF DYKE1892A, UDI/DI 40195327430963 (case), 10195327430962 (unit), Lot Numbers: 10195327430962; d) REF DYKE1648G, UDI/DI 40195327007127 (case), 10195327007126 (unit), Lot Numbers: 22BBY253, 22DBG793, 22EBM485, 22GBY046, 22JBQ585, 22LBJ398, 23CBG974; e) REF DYKE1648I, UDI/DI 40195327351541 (case), 10195327351540 (unit), Lot Numbers: DYKE1648I; f) REF DYNDC3184, UDI/DI 40195327034093 (case), 10195327034092 (unit), Lot Numbers: DYNDC3184; g) REF DYNDC2842, UDI/DI 40193489342568 (case), 10193489342567 (unit), Lot Numbers: DYNDC2842; h) REF DYNJ54822D, UDI/DI 40195327151813 (case), 10195327151812 (unit), Lot Numbers: i) REF DYNJ904068D, UDI/DI 22DMI181, 22GMH542, 23FMG372, 23GMC127; j) REF DYNDC3192, UDI/DI 40195327153251 (case), 10195327153250 (unit), Lot Numbers: 23BMF718, 23CME669, 23FMJ514, 23GMH712, 23IMA898; k) REF DM1165, UDI/DI 40653160994184 (case), 10653160994183 (unit), Lot Numbers: DYNDC3192; l) REF DM1165B, UDI/DI 40653160994184 (case), 10653160994183 (unit), Lot Numbers: 23BBA069, 23CBR900, 23DBR127, 23EBP048, 23GBF718, 23HBN448, 23JBB725, 23JBP425; m) REF CDS984289K, UDI/DI 40195327067244 (case), 10195327067243 (unit), Lot Numbers: 22FBX071, 22JBT625, 22LBQ630, 22OBI364, 23ABP719, 23CBI370, 23FBP065, 23FBV540; n) REF DYNJ46785C, UDI/DI 40888277789389 (case), 10888277789388 (unit), Lot Numbers: 22CBY383, 22HBI240, 22JBS870, 22LBR066, 23ABC131, 23BBJ268, 23BBK356, 23CBS913; o) REF DYNDA2212B, UDI/DI 20193489197386 (case), 10193489197389 (unit), Lot Numbers: 22ILA769, 22LLA799, 23BLB093, 23ELA493; p) REF DYNJ44087B, UDI/DI 40195327346585 (case), 10195327346584 (unit), Lot Numbers: 23BBR837, 23EBF536, 23FBL664, 23HBQ739, 23IBF826, 23JBR527, 23KBA577; q) REF DYNJ907554A, UDI/DI 40195327024636 (case), 10195327024635 (unit), Lot Numbers: DYNJ907554A; r) REF DYNJ907554C, UDI/DI 40195327183838 (case), 10195327183837 (unit), Lot Numbers: 22IBF009, 22IBF810, 23ABS408, 23DBE286
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.
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.
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