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U.S. Department of Health and Human Services

Class 2 Device Recall Rebreather Oxygen Mask

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 Class 2 Device Recall Rebreather Oxygen Masksee related information
Date Initiated by FirmMay 10, 2017
Date PostedMay 24, 2017
Recall Status1 Terminated 3 on August 27, 2021
Recall NumberZ-2236-2017
Recall Event ID 77282
Product Classification Mask, oxygen - Product Code BYG
ProductRebreather Oxygen Mask, Adult 7 (2.1 m) Tubing, Product Code 3104MM, Product Code 9104-E, Product Code PMD06001
Code Information Lot Number (Product Code 3104MM) 103665; (Product Coe 9104-E) 100130, 101056, 101638, 102066, 104977; (Product Code PMD06001) 100914
Recalling Firm/
Manufacturer		 ConvaTec, Inc
7900 Triad Center Dr Ste 400
Greensboro NC 27409-9076
For Additional Information ContactDavid Pudwill
336-542-4753
FDA Determined
Cause 2		Process control
ActionRecall Letters were sent to consignees on May 10, 2017. The letter requested that they immediately stop distribution and quarantine all affected lots. The letter also requested a sub-recall if the product had been further distributed. Also attached to the letter is a Recall Response Form to be returned.
DistributionCA, CT, FL, GA, IL, MO, NJ, NY, NC, OH, PA, RI, VA , Puerto Rico, Australia, Belgium, Canada, Columbia, Czech, Denmark, Finland, France, Germany, Greece, Israel, Italy, Japan, Jordan, Malaysia, Malta, Netherlands, Norway, Rwanda, Saudi Arabia, Sweden, Switzerland, United Kingdom, and Vietnam
Total Product Life CycleTPLC 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.
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