Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0262-2020Class II

POM Procedural Oxygen Masks, Endoscopic, Conscious Sedation, Bronchoscopy Mask, as follows: (1) POM Medical...

POM Medical, LLC / initiated 2018-07-11 / Terminated / root cause: manufacturing process

POM Medical LLC began a recall of POM Procedural Oxygen Masks, Endoscopic, Conscious Sedation, Bronchoscopy Mask, as follows: (1) POM Medical, LLC, REF 1001-MM, High/Med Concentrations... on . FDA classified it as Class II and gives the reason as "Complaints were received on the product, such as the re-breather bag would not fill/inflate or the oxygen line pops off after the oxygen is turned on due to a clogged port". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0262-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
POM Medical, LLC
Product
POM Procedural Oxygen Masks, Endoscopic, Conscious Sedation, Bronchoscopy Mask, as follows: (1) POM Medical, LLC, REF 1001-MM, High/Med Concentrations, Distributed by POM Medical, LLC, Moorpark, CA; (2) curaplex, REF 301-0318LT, Medium Concentration, Distributed by Sarnova HC, LLC's family of companies: Bound Tree Medical, LLC, Cardio Partners, Inc., Emergency Medical Products, Inc. & Tri-anim Health Services, Inc., Dublin, OH; and (3) POM Medical, LLC REF 1001-MF, High/Med Concentrations, Distributed by POM Medical, LLC, Moorpark, CA. All are packaged 1 mask/plastic pouch, 30 masks/case.
Product code
BYG Mask, Oxygen
Reason for recall
Complaints were received on the product, such as the re-breather bag would not fill/inflate or the oxygen line pops off after the oxygen is turned on due to a clogged port.
Root cause tag
manufacturing process
FDA root cause
Nonconforming Material/Component
Action
The firm initiated recall by telephone beginning 7/11/2018 requesting return of the product.
Quantity in commerce
5,610 units
Distribution
Distribution was made to CA, FL, MO, OH, and PA.
Product codes and lots
Model 1001-MM - Lot numbers 021418-021421, 032218-032221, 032618-032621, and 032818-032821;  Model KE1001-MM, an internal number used by one of the distributors (same as 1001-MM) - Lot numbers 021418-021421 and 032818-032821;  Model 301-0318LT - Lot numbers 022218-022221, 032218-032221, 032618-032621; and  Model 1001-MF - Lot number 032818-032821.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0262-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0262-2020Class IITerminatedVoluntary: Firm initiated