Date Initiated by Firm |
February 24, 2021 |
Date Posted |
November 08, 2022 |
Recall Status1 |
Open3, Classified |
Recall Number |
Z-0199-2023 |
Recall Event ID |
90981 |
510(K)Number |
K193015
|
Product Classification |
Catheter, intravascular, therapeutic, long-term greater than 30 days - Product Code LJS
|
Product |
Scalpel and StatLock included with HydroPICC Catheter Kit - PICC-142, Peripherally Inserted Central Catheter |
Code Information |
UDI-DI: 00862559000418
Catheter Kit Lots/Expiration Dates
09112001 Exp 9/24/2021
10212001 Exp 10/21/21
10282001 Exp 11/18/21
Scalpel Lots/Expiration Dates
R18-08-010 Exp Feb-21
R19-01-009 Exp Jun-21
R20-01-010 Exp Aug-22
StatLock Lots/Expiration Dates
R18-09-008 Exp 5/28/2021 |
Recalling Firm/ Manufacturer |
Access Vascular, Inc. 749 Middlesex Tpke Billerica MA 01821-3906
|
For Additional Information Contact |
Brian Hanley 781-538-6594 Ext. 101
|
Manufacturer Reason for Recall |
Scalpel and StatLock components packaged with specific lots of the HydroPICC catheter have a shorter expiration date than what is listed on the outer kit package.
|
FDA Determined Cause 2 |
Process design |
Action |
Beginning February 24, 2021, the firm notified its affected consignees via Email.
Customers were informed that if product had already been used, then no action was required, because all components were still within their expiration date at the time, and no patient safety risk was identified. If product had not been used, customers were asked to refrain from using product until a replacement Scalpel and Statlock were provided. |
Quantity in Commerce |
79 kits |
Distribution |
Domestic distribution to NC, RI, NJ, and IL. No foreign distribution. |
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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
|
510(K) Database |
510(K)s with Product Code = LJS and Original Applicant = Access Vascular, Inc
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