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U.S. Department of Health and Human Services

Class 2 Device Recall Hotline Administration Sets

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  Class 2 Device Recall Hotline Administration Sets see related information
Date Initiated by Firm November 21, 2011
Date Posted January 11, 2012
Recall Status1 Terminated 3 on August 07, 2014
Recall Number Z-0425-2012
Recall Event ID 60516
510(K)Number K911383  
Product Classification Warmer, thermal, infusion fluid - Product Code LGZ
Product HOTLlNE Disposable Administration Sets,
Product Code L-370

Product Usage: Single patient use Sets designed for use by trained medical professionals, in conjunction with HOTLlNE¿ Routine Flow Blood and Fluid Warmers (HL-90 and HL-290), for the warming and delivery of blood and I.V. solutions, at normothermic flow rates of 50 - 5,000 ml/hr.
Code Information Lot Numbers: 1995695 1995696 2038150 2038151 2038152 2047423 2061923 2061924 2061929 2061930 2061931 2061932 2061933 2077201 2077202 2090780 2090781 2095295 2095302 2095306 
Recalling Firm/
Manufacturer
Smiths Medical ASD, Inc.
160 Weymouth St
Rockland MA 02370-1136
For Additional Information Contact SA ME
781-878-8011
Manufacturer Reason
for Recall
Disconnected/ loose Luer connectors at the patient end of the triple lumen tubing of the HOTLlNE Disposable Administration Sets and Level 1 D/DI-60HL Normothermic IV Administration Sets
FDA Determined
Cause 2
Device Design
Action Smiths Medical notified consignees by letter dated November 28, 2011 titled: Urgent Field Safety Notice. The letter identified the affected product, the problem, and the actions to be taken. Customers were instructed to inspect inventory and segregate unused affected product. Distributors were instructed to immediately stop distributing and quarantine all inventory. The letters included a Confirmation Form to be complete and return, by fax to 781-610-9859 or by email to hotlineconnectorrecall@smiths-medical.com. For questions consignees were instructed to contact Smiths Medical at 1781-763-9330.
Quantity in Commerce 36,421 units
Distribution Worldwide Distribution  (USA) (nationwide) - Argentina, Austria, Australia, Belgium, Bahrain, Bermuda, Canada, Chile, China, Columbia, Czech Republic, Germany, Denmark, Estonia, Egypt, Finland, France, Great Britain, Guernsey, Greece, Guatemala, Hong Kong, Hungary, Indonesia, Ireland, Israel India, Iceland, Italy, Japan, South Korea, Kazakhstan, Lebanon, Luxembourg, Mexico, Malaysia, New Caledonia, Netherlands, Norway, New Zealand, Panama, Poland, Portugal, Qatar, Singapore, Sweden, Slovak Republic, South Africa, Spain, Sri Lanka, Switzerland, Taiwan, and Vatican City State.
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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = LGZ and Original Applicant = LEVEL 1 TECHNOLOGIES, INC.
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