Medical Device
Manufacturing
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Z-1361-2015Class II

Double Swivel Connector with Suction Port Connector, Airway (Extension) King Systems part 7169

King Systems Corporation. / initiated 2015-02-17 / Terminated / root cause: labeling and UDI

King Systems Corp. began a recall of Double Swivel Connector with Suction Port Connector, Airway (Extension) King Systems part 7169 Product Usage: An airway connector is a device intended to... on . FDA classified it as Class II and gives the reason as "Product is mislabeled as Double Swivel Connector with Suction Port and is actually Double Swivel Connector without Suction port. If the incorrect component is not identified prior to clinical use, the incorrect...". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-1361-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
King Systems Corporation.
Product
Double Swivel Connector with Suction Port Connector, Airway (Extension) King Systems part 7169 Product Usage: An airway connector is a device intended to connect a breathing gas source to a tracheal tube, tracheostomy tube, or gas mask. The double swivel connector with suction port is an optional connector for a breathing circuit. King System s offers two versions of the double swivel connector, one with a suction port and one without a suction port. The clinical significance of the suction port is that it provides the caregiver the opportunity to perform a secondary procedure if so desired.
Product code
BZA Connector, Airway (Extension)
Reason for recall
Product is mislabeled as Double Swivel Connector with Suction Port and is actually Double Swivel Connector without Suction port. If the incorrect component is not identified prior to clinical use, the incorrect connector would be replaced during the case without risk to the patient and could result in a short delay of the procedure.
Root cause tag
labeling and UDI
FDA root cause
Mixed-up of materials/components
Action
Kingsystems sent an Urgent Medical Device Recall letter dated February 17, 2015 to affected customers. The letter identified the reason for the recall, affected product, consignee responsibilities, and instructions for responding to the formal recall notification. For questions, call your King Systems customer service representative at 800.642.5464.
Quantity in commerce
900 units
Distribution
US Nationwide in the states of IL, IN, KY, MI, PA, and TN
Product codes and lots
Part number 7169 Lot number 1737171

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1361-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1361-2015Class IITerminatedVoluntary: Firm initiated