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U.S. Department of Health and Human Services

Class 1 Device Recall VOCSN Patient Breathing Package (Pediatric, Active, Oxygen, Blue)

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  Class 1 Device Recall VOCSN Patient Breathing Package (Pediatric, Active, Oxygen, Blue) see related information
Date Initiated by Firm January 09, 2024
Date Posted February 23, 2024
Recall Status1 Open3, Classified
Recall Number Z-1070-2024
Recall Event ID 93806
510(K)Number K162877  
Product Classification Ventilator, continuous, facility use - Product Code CBK
Product VOCSN Patient Breathing Package (Pediatric, Active, Oxygen, Blue) REF PRT-01013-000 with pouch REF PRT-00802-001). Used with the VOCSN Unified Respiratory System which provides continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation.
Code Information Box Label - Part Numbers: PRT-01013-000 Pouch Label - Part Number: PRT-00802-001 UDI-DI Code: 00855573007594 Lot Number: 220922 Pack Slip Lot Number: 257337
Recalling Firm/
Manufacturer
Ventec Life Systems, Inc.
22002 26th Ave Se
Bothell WA 98021-4903
For Additional Information Contact Christina Krueckeberg
844-698-6276
Manufacturer Reason
for Recall
The bonded spiral wrap may detach before or during ventilation due to a manufacturing issue. Detachment of the spiral wrap can compromise structural integrity, functionality and/ or performance resulting in occlusions or leaks of the breathing circuit which may cause serious injury or death. The risk of injury or death is increased for ventilator dependent patients.
FDA Determined
Cause 2
Process control
Action On 12/22/2023, the firm sent an URGENT: MEDICAL DEVICE RECALL NOTIFICATION via Direct overnight mail, or FedEx, or email, or hand delivered, to customers informing them that Ventec Life Systems is recalling a specific lot (listed below) of the VOCSN Patient Breathing Package (Pediatric, Active, Oxygen, Blue) since the bonded spiral wrap may detach before or during ventilation due to a manufacturing issue. Customer are instructed to: 1. Operate the ventilator as defined in the Instructions for Use and promptly respond to all alarms activated by the ventilator. 2. Stop use of the affected Patient Breathing Package and replace it with a non-affected product. 3. Inspect current stock and quarantine/segregate any unused affected products to prevent their use. For questions/assistance - contact Ventec Life Systems directly at 844-MYVOCSN (844-698-6276), Monday through Friday between 8:00 a.m. - 5:00 p.m. PDT.
Quantity in Commerce 250 breathing circuits
Distribution U.S.: CA, CO, FL, HI, IN, MO, NC, and WA O.U.S.: Japan
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.
510(K) Database 510(K)s with Product Code = CBK and Original Applicant = VENTEC LIFE SYSTEMS, INC
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