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Class 2 Device Recall Pulmanex Hyperinflation Circuit |
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Date Initiated by Firm |
September 10, 2003 |
Date Posted |
October 15, 2003 |
Recall Status1 |
Terminated 3 on March 24, 2004 |
Recall Number |
Z-0036-04 |
Recall Event ID |
27242 |
510(K)Number |
K930252
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Product Classification |
Circuit, Breathing (W Connector, Adaptor, Y Piece) - Product Code CAI
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Product |
Hyperinflation Circuit, consisting of a 2.0 L breathing bag, pressure monitoring tube, oxygen supply tubing, sideport connector with adjustable bleed valve and ported elbow; Mfg. for Corpak MedSystems, Wheeling, IL 60090; 20 units per case; reorder #BLD-83120 |
Code Information |
reorder #BLD-83120, lot 11593 |
Recalling Firm/ Manufacturer |
VIASYS Med Systems 100 Chaddick Dr. Wheeling IL 60090
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For Additional Information Contact |
Ms. Stephanie Wasielewski 847-537-4601
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Manufacturer Reason for Recall |
The exhalation hole in the sideport relief valve may be blocked, allowing excess pressure build-up.
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FDA Determined Cause 2 |
Other |
Action |
VIASYS telephoned the direct accounts and sent out follow-up faxes on 9/10-11/03, informing them of the potential for a blocked exhalation hole in the sideport relief valve cap which may result in excess pressure build-up. The accounts were instructed to check their inventory for the affected catalog numbers and lots numbers, place any found on hold for return to VIASYS, and sub-recall the affected product from their customers. |
Quantity in Commerce |
40 units |
Distribution |
Missouri, Texas, New York, Illinois, Kansas, California, Pennsylvania, Georgia, Arizona, Massachusetts, Maine, Oklahoma and Virginia. |
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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
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510(K) Database |
510(K)s with Product Code = CAI and Original Applicant = BIRD LIFE DESIGN
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