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Class 2 Device Recall LargeVolume IV Administration Sets |
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Date Initiated by Firm |
December 08, 2005 |
Date Posted |
March 18, 2006 |
Recall Status1 |
Terminated 3 on January 05, 2007 |
Recall Number |
Z-0660-06 |
Recall Event ID |
34691 |
510(K)Number |
K811933 K823406A K991599
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Product Classification |
Set, Administration, Intravascular - Product Code FPA
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Product |
Large-Volume IV Administration Sets for use with Deltec 3000 and Deltec Micro 3100 Large Volume Infusion Pumps. Model Number 8C290 (Reorder No. 21-0304-01) Speciality Administration Set. Sterile, non-pyrogenic. Length 105 inch/267 cm, 25 ml priming volume, 20 drops/ml and 0 Injection sites, PVC cassette, non-PVC lined tubing, non-PVC drip chamber. Manufactured for Deltec SIMS Deltec, Inc., St. Paul, MN 55112 U.S.A. sims Smiths Industries Medical Systems. |
Code Information |
Lot number FEB04T06 |
Recalling Firm/ Manufacturer |
Smiths Medical MD, Inc. 1265 Grey Fox Rd Saint Paul MN 55112-6929
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Manufacturer Reason for Recall |
Inaccurate infusion rate-administration sets which are used with selected infusion pumps may have a defect which does not allow the pump valve to close completely.
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FDA Determined Cause 2 |
Other |
Action |
Affected customers were notified of the recall and asked to return or destroy any unused product. |
Quantity in Commerce |
7 boxes of 30 Admin. Sets (210 sets in total) |
Distribution |
South Carolina, Australia, Canada and Puerto Rico. |
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 = FPA and Original Applicant = AVI, INC. 510(K)s with Product Code = FPA and Original Applicant = SIMS DELTEC, INC.
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