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U.S. Department of Health and Human Services

Class 2 Device Recall Centurion Neonatal PICC Tray

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 Class 2 Device Recall Centurion Neonatal PICC Traysee related information
Date Initiated by FirmDecember 11, 2019
Create DateFebruary 05, 2020
Recall Status1 Terminated 3 on September 04, 2020
Recall NumberZ-1044-2020
Recall Event ID 84530
Product Classification Central venous catheter tray - Product Code OFF
ProductCenturion Neonatal PICC Tray: CVI2310 NEONATAL PICC INSERTION TRAY CVI2550 NEONATAL PICC INSERTION TRAY CVI2550 NEONATAL PICC INSERTION TRAY CVI2550 NEONATAL PICC INSERTION TRAY CVI2550 NEONATAL PICC INSERTION TRAY CVI3650 PEDS PICC INSERTION TRAY CVI3730 NEONATAL PICC LINE TRAY CVI4235 NEONATAL PROCEDURE PICC TRAY CVI4395A NICU PICC INSERTION KIT CVI4395A NICU PICC INSERTION KIT CVI4565 NEONATAL PICC TRAY
Code Information Kit Code Product Lot Number  CVI2310 NEONATAL PICC INSERTION TRAY 2018122190 CVI2550 NEONATAL PICC INSERTION TRAY 2019061190 CVI2550 NEONATAL PICC INSERTION TRAY 2019020190 CVI2550 NEONATAL PICC INSERTION TRAY 2019010490 CVI2550 NEONATAL PICC INSERTION TRAY 2018101190 
Recalling Firm/
Manufacturer		 Centurion Medical Products Corporation
100 Centurion Way
Williamston MI 48895-9086
For Additional Information ContactSAME
517-546-5400
Manufacturer Reason
for Recall		Incomplete seals on the sterile package may compromise the sterility
FDA Determined
Cause 2		Packaging process control
ActionCenturion issued a notification emailed to Medline Industries, Centurion's parent company. Centurion issued mailing letters via First Class Mail beginning on 12/12/2019, letter states reason for recall, health risk and action to take: Please identify all inventory that you have within your possession and segregate it in a location where it cannot be accessed for use. 2) If you have transferred possession of this product to another individual, to another department or to another location in your organization, you are required by FDA regulations to notify them of this recall communication. Please ask that any affected product be returned to you for collection. 3) Affected product is not to be returned to Centurion, and should be destroyed/discarded. Document the destruction of all product on the enclosed accountability record. 4) Please complete the enclosed accountability record, whether or not you have product, and fax or email at your earliest convenience to the attention of Lisa Carpenter, Director of Quality Assurance Centurion Medical Products Corporation, (517) 546-5400 Ext.1122.
Quantity in Commerce957
DistributionNationwide Foreign: GHANA
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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