| | Class 2 Device Recall Microstream Advance NeonatalInfant & AdultPediatric Intubated CO2 Filter Lines |  |
| Date Initiated by Firm | April 07, 2025 |
| Date Posted | May 05, 2025 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-1722-2025 |
| Recall Event ID |
96677 |
| 510(K)Number | K113441 K181467 K980324 K980327 K993383 |
| Product Classification |
Analyzer, gas, carbon-dioxide, gaseous-phase - Product Code CCK
|
| Product | Microstream Advance Neonatal-Infant Intubated CO2 Filter Line marketed as Adt/Pedi Intub CO2 Line STerm , Adt/Pedi Intub CO2 Line STerm Lng , Adt/Pedi Intub CO2 Line High Humidity , Adt/Pedi Intub CO2 Line LTerm Lng , Adt/Pedi Intub CO2 Line LTerm , Neo/Inf Intub CO2 Line LTerm , Neo/Inf Intub CO2 Line High Humidity , Neo/Inf Intub CO2 Line LTerm Lng , VitaLine H Set Adult/Pediatric , VitaLine H Set Infant/Neonatal , FilterLine Set Long Adult/Pediatric , FilterLine H Set Long Adult/Pediatric , FilterLine H Set Long Infant/Neonatal , Trade Compliant: FilterLine H, Adult/Ped , Trade Compliant: FilterLine H, Infant/Neo , FilterLine Set Adult/Pedi , FilterLine H Set Adult/Pedi and FilterLine H Set Infant/Neonatal. Carbon dioxide gas analyzer. |
| Code Information |
Model No. 989803204511, 989803204321, 989803204301, 989803204331, 989803204521, 989803204531, 989803204311, 989803204341, 989803159571, 989803159581, 989803160241, 989803160251, 989803160261, 989803182921, 989803182931, 989803105531, 989803105541, 989803105561; UDI: N/A; System Codes 989803105531, 989803105541, 989803105561, 989803159581, 989803160241, 989803160251, 989803160261, 989803182921, 989803182931, 989803204301, 989803204311, 989803204321, 989803204331, 989803204341, 989803204511, 989803204521, 989803204531, 989803159571, 989803159581, 989803160241, 989803160251, 989803160261, 989803182921, 989803182931, 989803204301, 989803204311, 989803204321, 989803204331, 989803204341, 989803204511, 989803204521, 989803204531, M1920A, M1921A, M1923A. |
Recalling Firm/ Manufacturer |
Philips North America Llc 222 Jacobs St Cambridge MA 02141-2289
|
| For Additional Information Contact | Philips Customer Services 1-800-722-9377 |
Manufacturer Reason for Recall | Disconnection of the adapter from the endotracheal tube can potentially be difficult or not possible. |
FDA Determined Cause 2 | Unknown/Undetermined by firm |
| Action | Consignees and Distributors were mailed an URGENT Medical Device Correction notice dated 4/7/25.
Consignees were instructed to continue using the devices per the IFU and to ensure during setup that the airway adapter can easily be attached and detached from the breathing circuit/tubing before proceeding. The provided recall notification should be forwarded to those in the organization who use the device or where devices may have been transferred. Consignees are asked to utilize the provided QR code to complete a Response Form digitally; consignees can also email a hard copy Response Form to Recall.Response@fda.hhs.gov or by fax to 877-499-7723.
Distributors are asked to forward the provided recall notification to customers no later than 5 days after notification of this recall event and to conduct a good faith effort to get a completed Response Form from each of their customers by conducting a minimum of three follow ups utilizing multiple contact methods.
Consignees or Distributors with any questions are to contact 1-800-722-9377. Philips plans to issue an IFU addendum to address the recall. |
| Quantity in Commerce | 486,631 units |
| Distribution | Worldwide distribution - US Nationwide and the countries of AE, AL, AO, AR, AT, AU, AW, BD, BE, BG, BH, BO, BR, BW, BY, CA, CD, CH, CI, CL, CN, CO, CR, CY, CZ, DE, DK, DO, DZ, EC, EE, EG, ES, ET, FI, FJ, FO, FR, GA, GB, GF, GH, GI, GP, GR, GT, HK, HN, HR, HU, ID, IE, IL, IN, IR, IS, IT, JO, JP, KE, KG, KR, KW, LB, LK, LT, LU, LV, LY, MA, MC, MM, MO, MQ, MT, MU, MV, MX, MY, MZ, NC, NG, NL, NO, NP, NZ, OM, PA, PE, PF, PG, PH, PK, PL, PM, PR, PS, PT, PY, QA, RE, RO, RS, RU, RW, SA, SE, SG, SI, SK, SN, SY, TH, TN, TR, TT, TW, TZ, UA, UY, VA, VN, YT, ZA. |
| Total Product Life Cycle | TPLC Device Report |
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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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| 510(K) Database | 510(K)s with Product Code = CCK 510(K)s with Product Code = CCK 510(K)s with Product Code = CCK 510(K)s with Product Code = CCK
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