510(K) CLEARANCES 67 ▼8RECALLS POSTED 26CLASS I 2PMA DECISIONS 40 ▼14WEEK ENDING / FDA DATA AS OF
Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1427-2018Class II

Halyard Closed Suction System for Adults, Double Swivel Elbow (DSE). Used to aspirate liquids or semisolids...

Halyard Health / initiated 2018-02-07 / Terminated / root cause: labeling and UDI

Halyard Health, Inc began a recall of Halyard Closed Suction System for Adults, Double Swivel Elbow (DSE). Used to aspirate liquids or semisolids from a patient's upper airway. Labeled as the... on . FDA classified it as Class II and gives the reason as "Certain Flex Connectors supplied with Halyard Closed Suction Kits with Flex Connector may become loose or disconnect before use or during use". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-1427-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Halyard Health
Product
Halyard Closed Suction System for Adults, Double Swivel Elbow (DSE). Used to aspirate liquids or semisolids from a patient's upper airway. Labeled as the following: a. HALYARD* 12FR DSE 21.3IN/54CM (WHITE); b. HALYARD* 12 FR TRACH CARE DSE ENDO; c. HALYARD* 12FR DSE 12IN/30.5CM (WHITE); d. HALYARD* 12FR TRACH CARE DSE TRACH; e. HALYARD* 14FR DSE 21.3IN/54CM (GREEN); f. HALYARD* 14FR TRACH CARE DSE ENDO; g. HALYARD* 14FR DSE 12IN/30.5CM (GREEN); h. HALYARD* 14FR TRACH CARE DSE TRACH; i. HALYARD* 14FR DSE 12IN/30.5CM; j. HALYARD* 14FR TRACH CARE WET PAK* DSE MDI TRACH; k. HALYARD* 14FR TRACH CARE WET PAK* DSE ENDO; l. HALYARD* 14FR TRACH CARE WET PAK* DSE DIR TIP ENDO; m. HALYARD* 14 FR TRACH CARE DSE DUAL LUMEN ENDO; n. HALYARD* 14FR TRACH CARE DSE MDI ENDO; o. HALYARD* 14FR DSE 22.2IN/56 CM (GREEN); p. HALYARD* 14FR TRACH CARE DSE DIR TIP ENDO; q. HALYARD* 16FR DSE 21.3IN/54CM (ORANGE); r. HALYARD* 16FR TRACH CARE DSE ENDO; s. HALYARD* 16FR TRACH CARE WET PAK* DSE ENDO
Product code
BSY Catheters, Suction, Tracheobronchial
Reason for recall
Certain Flex Connectors supplied with Halyard Closed Suction Kits with Flex Connector may become loose or disconnect before use or during use.
Root cause tag
labeling and UDI
FDA root cause
Labeling design
Action
Customers were notified via mail and/or email on about 02/07/2018. Instructions for distributors included to notify all affected customers who may have received potentially impacted products and to complete and return the Distributor Acknowledgement Form. Instructions for customers included to ensure adequate connection of the Flex Connector to Swivel Connector before use of the product by following. This accomplished by ensuring a tight fit is achieved on the Swivel with the Flex Connector advanced approximately three-quarters over the Swivel, so a gap remains visible. If and adequate connection is observed, the Flex Connector may be replaced with a new, sterile Flex Connector and the system connection should be re-evaluated. Lastly, if use of a Flex Connector with the ventilator circuit is optional, the closed suction Swivel Connector can be connected directly to the ventilator circuit. During use, if a disconnection between the Flex Connector and Swivel Connector is observed during use, replace the Flex Connector with a new, sterile Flex Connector (e.g. HYH Product # 1115) and ensure adequate connection as described in this notice. If an inadequate connection occurs, Halyard Health instructs customers to safe the Flex Connector and report it via the Product Complaint Process (PIQ) and the local Halyard Health Sales Representative will assist. Additionally customers were instructed to complete and return the Acknowledgement Form and distribute the recall notice to all clinicians in the facility that may be impacted.
Quantity in commerce
32,189 cases (20 units per case - 643,780 units) total
Distribution
Worldwide distribution. US nationwide including Puerto Rico, ARGENTINA, AUSTRALIA, BAHAMAS, BELGIUM, BOLIVIA, BRAZIL, BULGARIA, CANADA, CHILE, CHINA, COLOMBIA, COSTA RICA, CROATIA, CZECH REPUBLIC, DOMINICAN REP., ECUADOR, EL SALVADOR, GUATEMALA, HONG KONG, HUNGARY, INDIA, IRELAND, ISRAEL, ITALY, JAPAN, JORDAN, KAZAKHSTAN, LEBANON, MALAYSIA, MEXICO, NEW ZEALAND, PERU, PHILIPPINES, QATAR, ROMANIA, RUSSIAN FEDERATION, SAUDI ARABIA, SINGAPORE, SLOVENIA, SOUTH AFRICA, SOUTH KOREA, SPAIN, SWEDEN, THAILAND, UNITED KINGDOM, and UNITED ARAB EMIRATES.
Product codes and lots
Product Description, (Product code):    a. HALYARD* 12FR DSE 21.3IN/54CM (WHITE), (2160);  b. HALYARD* 12 FR TRACH CARE DSE ENDO, (2160-5);  c. HALYARD* 12FR DSE 12IN/30.5CM (WHITE), (21603);  d. HALYARD* 12FR TRACH CARE DSE TRACH, (21603-5);  e. HALYARD* 14FR DSE 21.3IN/54CM (GREEN), (22108130, 2210, 22106, 22107, 22108, 22108147, 8224);  f. HALYARD* 14FR TRACH CARE DSE ENDO, (2210-5);  g. HALYARD* 14FR DSE 12IN/30.5CM (GREEN), (22103, 221037, 221038, 8223, 221036);  h. HALYARD* 14FR TRACH CARE DSE TRACH, (22103-5);  i. HALYARD* 14FR DSE 12IN/30.5CM, (221036-5);  j. HALYARD* 14FR TRACH CARE WET PAK* DSE MDI TRACH, (2210386-5);  k. HALYARD* 14FR TRACH CARE WET PAK* DSE ENDO, (22106-5);  l. HALYARD* 14FR TRACH CARE WET PAK* DSE DIR TIP ENDO, (221069-5);  m. HALYARD* 14 FR TRACH CARE DSE DUAL LUMEN ENDO, (22107-5);  n. HALYARD* 14FR TRACH CARE DSE MDI ENDO, (22108-5);  o. HALYARD* 14FR DSE 22.2IN/56 CM (GREEN), (22108148, 22109);  p. HALYARD* 14FR TRACH CARE DSE DIR TIP ENDO, (22109-5);  q. HALYARD* 16FR DSE 21.3IN/54CM (ORANGE), (2260, 22606);  r. HALYARD* 16FR TRACH CARE DSE ENDO, (2260-5);  s. HALYARD* 16FR TRACH CARE WET PAK* DSE ENDO, (22606-5)

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1427-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1427-2018Class IITerminatedVoluntary: Firm initiated
Z-1428-2018Class IITerminatedVoluntary: Firm initiated
Z-1429-2018Class IITerminatedVoluntary: Firm initiated