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U.S. Department of Health and Human Services

Class 1 Device Recall 10 Drop IV Sets

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  Class 1 Device Recall 10 Drop IV Sets see related information
Date Initiated by Firm February 01, 2010
Date Posted March 30, 2010
Recall Status1 Terminated 3 on November 08, 2012
Recall Number Z-1124-2010
Recall Event ID 54723
510(K)Number K830755  
Product Classification Intravascular administration set - Product Code FPA
Product 10 Drop IV Sets, with 3 Pre-Pierced Y-Injection Sites and 3-Gang Pressure Activated Manifold Valve. (Approx. 10 Drops/ML); with Two Y-Injection Sites and Rotating Luer Lock (Approx. 10 Drop/ML); with Positive Pressure Pump with 4-Way "Hi-Flo" Stopcock and 4 Pre-Pierced "Y" Injection Sites (approx. 10 Drop/mL).

An Intravenous Administration Tubing set is a device intended for medical purposes that consists of tubing and components with suitable adaptors used to transfer blood, plasma or intravascular fluids from a container to a patient's vascular system.
Code Information Product numbers MPI-17682, MPI-17708, and MPI-18020.
Recalling Firm/
Arrow International Inc
2400 Bernville Road
Reading PA 19605
For Additional Information Contact Customer Service
Manufacturer Reason
for Recall
Sterility may be compromised.
FDA Determined
Cause 2
Component design/selection
Action The recalling firm issued an "Urgent Medical Device Recall" letter dated February 19, 2010 to their consignees to inform them of the issue. Customers were instructed to check their inventory for the affected products, cease use and distribution, and quarantine all affected product immediately. Consignees were further instructed the following: 1) Complete the enclosed Recall Acknowledgement & Stock Status Form and immediately fax the completed form to Arrow International at 1-800-343-2935 and 2) Return all affected product to Arrow International, Inc. 312 Commerce Place, Asheboro, NC 27203 Attn: Asheboro Quality Assurance Manager. If additional information or clarification regarding the recall is needed, please contact Arrow International, Customer Service Department at 1-800-523-8446. Details about the recall can be accessed on the firm's website at http://www.teleflexmedical.com/spotlight/ivTubingRecall/index.html.
Quantity in Commerce 70,959,969 of total units
Distribution Worldwide Distribution -- United States, Canada, Columbia, South Africa, Turkey, Kazakhstan, Venezuela, Germany, Cuba, Panama, El Salvador, Costa Rica, Singapore, and United Kingdom.
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 = MEDICAL PARAMETERS, INC.