Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0914-2013Class II

Lifeguard Infusion Set with Smartsite, 20Ga, 1, CLGY-2010 Huber type needle set used for the infusion of...

Vygon Mfg / initiated 2013-01-21 / Terminated / root cause: labeling and UDI

Churchill Medical Systems, Inc. began a recall of Lifeguard Infusion Set with Smartsite, 20Ga, 1, CLGY-2010 Huber type needle set used for the infusion of medical fluids into implantable ports on . FDA classified it as Class II and gives the reason as "The label on the device states that the item number is CLGY-2210 when the item number on the device label should read CLGY-2010. This is a 20Ga Huber needle set; however, the product label states the pouch contains a...". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-0914-2013
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Vygon Mfg
Product
Lifeguard Infusion Set with Smartsite, 20Ga, 1, CLGY-2010 Huber type needle set used for the infusion of medical fluids into implantable ports.
Product code
FPA Set, Administration, Intravascular
Reason for recall
The label on the device states that the item number is CLGY-2210 when the item number on the device label should read CLGY-2010. This is a 20Ga Huber needle set; however, the product label states the pouch contains a 22Ga set.
Root cause tag
labeling and UDI
FDA root cause
Under Investigation by firm
Action
Vycon sent an Urgent Medical Device Recall letter dated January 21, 2013, to all affected customers. The letter identified the product, the problem, and the action to be taken by the customer. Customers were instructed check their stock for the affected product and immediately cease use and distribution and quarantine all affected product immediately. Count and document their affected inventory on the Recall Acknowledgement and Inventory Return Form. Customers were instructed to fax or email the form to Vygon including customer contact information. All affected product would be credited or replaced at no cost to the customer. Customers with questions were instructed to call 1-800-473-5414, or by e-mail at [email protected]. For questions regarding this recall call 603-743-5988.
Quantity in commerce
2340
Distribution
Nationwide Distribution including MO, IL, FL, PA, VA, MO, NY, NE, NH, and OH.
Product codes and lots
Lot #1210099

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0914-2013
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0914-2013Class IITerminatedVoluntary: Firm initiated