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U.S. Department of Health and Human Services

Class 2 Device Recall LargeVolume IV Administration Sets

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  Class 2 Device Recall LargeVolume IV Administration Sets see related information
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  
Product Classification Set, Administration, Intravascular - Product Code FPA
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
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.
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

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.
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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