Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2070-2014Class II

Excelsior Medical Sterile Triple Lead Tubing Set and Sterile Heavy Duty Triple Lead Tubing Set. To be used...

Excelsior Medical LLC / initiated 2014-06-05 / Terminated / root cause: manufacturing process

Excelsior Medical Corp began a recall of Excelsior Medical Sterile Triple Lead Tubing Set and Sterile Heavy Duty Triple Lead Tubing Set. To be used with the Pharm-Assist Dispensing Pump. Used for drug... on . FDA classified it as Class II and gives the reason as "There is a potential for a leak. A molding defect in the connector that joins the three leads to the main flow line may allow fluid to escape or air to enter the fluid path during transfer of fluids from one container...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-2070-2014
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Excelsior Medical LLC
Product
Excelsior Medical Sterile Triple Lead Tubing Set and Sterile Heavy Duty Triple Lead Tubing Set. To be used with the Pharm-Assist Dispensing Pump. Used for drug reconstitution and/or fluid transfer
Product code
LHI Set, I.V. Fluid Transfer
Reason for recall
There is a potential for a leak. A molding defect in the connector that joins the three leads to the main flow line may allow fluid to escape or air to enter the fluid path during transfer of fluids from one container to another.
Root cause tag
manufacturing process
FDA root cause
Nonconforming Material/Component
Action
Excelsior Medical issued "Urgent Medical Device Recall" notifications/"Customer Reply Forms" dated June 5, 2014 to affected customers via certified mail (return receipt request). The notice informed customers of the issue with the affected product; how to identify affected product; instructed the customers to discontinue use of tubing sets from the affected lots and return the attached form (Customer Reply Form) via fax to Excelsior to make arrangements for return of product. If product was further distributed by the customer the notification instructs them to identify the customer(s) that it was supplied to and notify them at once of the product recall. A phone number was provided in case customers had questions regarding the recall (1.800.487.4276 8:30 am - 5:00 pm EST) as well as an email address ([email protected]).
Quantity in commerce
4250 tubing sets (PA03 - 78 cases; BX03 - 92 cases (each case contains 25 tubing sets))
Distribution
Worldwide Distribution - USA (nationwide) and Canada.
Product codes and lots
Product Code PA03 - Lot Nos.: 03030813, 03050813 and 03091213  Product Code BX03, Lot Nos.: 64031513, 64073113, 64081313, 64090513

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2070-2014
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2070-2014Class IITerminatedVoluntary: Firm initiated