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U.S. Department of Health and Human Services

Class 2 Device Recall namic Fluid Delivery Sets

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  Class 2 Device Recall namic Fluid Delivery Sets see related information
Date Initiated by Firm March 12, 2024
Date Posted May 10, 2024
Recall Status1 Open3, Classified
Recall Number Z-1807-2024
Recall Event ID 94313
510(K)Number K852140  
Product Classification Set, administration, intravascular - Product Code FPA
Product Namic FLUID DELIVERY SET, REF 91300040
Code Information UDI/DI 20193489069096 (box), 10193489069099 (unit), Lot Numbers: 0000113381
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
Products have a lack of sterility assurance.
FDA Determined
Cause 2
Process control
Action Medline issued a Medical Device Recall notice to its consignees on 03/12/2024 via email and US Mail. The notice explained the issue, potential risk, and requested destruction of the affected product. Those who further distributed the product were directed to notify those to whom they shipped the product.
Quantity in Commerce 50 units
Distribution US Nationwide distribution in the states of AL, FL, KY, MS, TX, WA, WI, NC, VA, CA, SD, TN, GA, PA, TX.
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 = FPA and Original Applicant = NORTH AMERICAN INSTRUMENT CORP.
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