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U.S. Department of Health and Human Services

Class 2 Device Recall Pall

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  Class 2 Device Recall Pall see related information
Date Initiated by Firm February 21, 2005
Date Posted April 27, 2005
Recall Status1 Terminated 3 on December 20, 2006
Recall Number Z-0765-05
Recall Event ID 31451
Product Classification Circuit, Breathing (W Connector, Adaptor, Y Piece) - Product Code CAI
Product Circuit- Matching Kit, 40'' Adult, 3L LPF, single use, Part Numbers RP640F0D0 and RP660F0D0. Manufactured for Pall Life Sciences, Ann Arbor, Michigan. Made in Mexico.
Code Information Part Number RP640F0D0, 20 per case, Lot Numbers: 575951104, 596600105; Part Number RP660F0D0, 20 per case, Lot Number: 596610105 
Recalling Firm/
Manufacturer
MMS Sales Corp
218 Highline Rd
Pharr TX 78577-9726
Manufacturer Reason
for Recall
Partial occlusion in the T-piece resulting in airway obstruction.
FDA Determined
Cause 2
Other
Action The firm initiated the recall on February 21, 2004 by letter to all consignees.
Quantity in Commerce Total for all products: 7455 cases (161,273 units)
Distribution Product was distributed domestically to customers in CA, AZ, IL, CO, OR, FL, VA, OH, MI, and UT. Product was also distributed to the following foreign countries: Malaysia, Mexico, and New Zealand
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.
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