| Class 2 Device Recall Infusion Stopcock |  |
Date Initiated by Firm | May 10, 2018 |
Create Date | October 20, 2021 |
Recall Status1 |
Terminated 3 on September 15, 2023 |
Recall Number | Z-0155-2022 |
Recall Event ID |
88725 |
510(K)Number | K141254 |
Product Classification |
Stopcock, i.V. Set - Product Code FMG
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Product | medfusion Stopcock, 1-way and 4-way, Model Numbers (REF):
a. 081-101BE
b. 081-101GE
c. 081-101GEE
d. 081-101NE
e. 081-102NE
f. 081-102RE
g. 089-101E
h. 888-101NE
i. 081-102GEE
j. 888-101BE
k. 888-101GE
l. 888-101GEE
m. 081-101RE
n. 081-102GE
o. 081-102BE
p. 888-101RE |
Code Information |
a. 081-101BE, Serial Numbers: 1570340901, 1570344401, 1570344402 b. 081-101GE, Serial Numbers: 1570343301 c. 081-101GEE, Serial Numbers: 1470293701, 1570343401 d. 081-101NE, Serial Numbers: 1570323801, 1570341001, 1570342701, 1570344101, 1660688101, 1670354301 e. 081-102NE, Serial Numbers: 1660636701 f. 081-102RE, Serial Numbers: 1660636601 g. 089-101E, Serial Numbers: 1570316801, 1570342601, 1570344601, 1660670001, 1670347801, 1670355201, 1670359701 h. 888-101NE, Serial Numbers: 1570343001 i. 081-102GEE, Serial Numbers: 1660636901 j. 888-101BE, Serial Numbers: 1570319201, 1570343101, 1570344201, 1670348101, 1670348102 k. 888-101GE, Serial Numbers: 1570343201, 1660688201 l. 888-101GEE, Serial Numbers: 1470312301, 1570343501 m. 081-101RE, Serial Numbers: 1570342901 n. 081-102GE, Serial Numbers: 1660637101 o. 081-102BE, Serial Numbers: 1570316901, 1660637501 p. 888-101RE, Serial Numbers: 1570344301, 1670356201 |
Recalling Firm/ Manufacturer |
Smiths Medical ASD Inc. 6000 Nathan Ln N Minneapolis MN 55442-1690
|
For Additional Information Contact | Dave Halverson 763-383-3310 |
Manufacturer Reason for Recall | Product has a lack of sterility assurance |
FDA Determined Cause 2 | Package design/selection |
Action | The firm, Smiths Medical, notified their consignees of the recall by issuing an "URGENT MEDICAL DEVICE FIELD SAFETY NOTICE" dated 3/2018 on 05/10/2018. The notice described the product, problem and actions to be taken. The consignees/customers were instructed to do the following:
PLEASE TAKE THE FOLLOWING ACTIONS TO HELP US PROPERLY
EXECUTE THIS FIELD SAFETY CORRECTIVE ACTION:
1. Identify any affected Infusion Stopcocks in your possession
2. Determine the number of affected products in your possession and complete the Field Safety Notice (FSN) Response Form attached to this letter within 10 days of receipt; return it to smithsmedicalrecall@stericycle.com. The completed Response Form must be returned even if you do not have any of the affected Infusion Stopcocks in your possession.
3. All affected products must be returned to Stericycle for processing. If the completed Response Form indicates that you have product to return.
4. When you receive the pre-paid shipping labels, package the affected products by lot number. Include a copy of the completed Response Form inside EACH BOX of returned products.
5. FOR DISTRIBUTORS ONLY: If you have distributed any of the affected products to your customers, please immediately notify your customers of this Field Safety Corrective Action and retrieve all affected products.
If you have any questions regarding this notification, contact Stericycle via email at the following address: smithsmedicalrecall@stericycle.com. |
Quantity in Commerce | 933,518 units |
Distribution | International Distribution to countries of: Armenia, Austria, Germany, Great Britain, Hungary, Italy, New Zealand, Poland, Slovenia, Spain, Sweden, and Switzerland. |
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 = FMG
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