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U.S. Department of Health and Human Services

Class 2 Device Recall Level 1 Normothermic Administration Sets

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  Class 2 Device Recall Level 1 Normothermic 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-0427-2012
Recall Event ID 60516
510(K)Number K911383  
Product Classification Warmer, thermal, infusion fluid - Product Code LGZ
Product Level 1¿ Normothermic I.V. Fluid Administration Sets,
Product Code D-60HL ,

Product Usage: Single patient use sets designed for use by trained medical professionals, in conjunction with Level 1¿¿ Fast Flow Fluid Warmers (H1000, H-1025, H-1028, and H-1200), for the warming and delivery of blood and I.V. solutions, at flow rates of 75ml/min - 530 ml/min.
Code Information Lot Numbers: 1974580 2007256 2064012 2089416 2093985 
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 3062 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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