Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2457-2021Class II

BD Syringe Set 20 DP MIC TBG 0.2MF CKV Anti-Siphon SmartSite VLV Sensing Disc, REF: 10798696; BD Syringe Set...

CareFusion 303, Inc / initiated 2021-08-02 / Open, Classified / root cause: manufacturing process

CAREFUSION began a recall of BD Syringe Set 20 DP MIC TBG 0.2MF CKV Anti-Siphon SmartSite VLV Sensing Disc, REF: 10798696; BD Syringe Set 20 DP MIC TBG CKV Anti-Siphon SmartSite VLV... on . FDA classified it as Class II and gives the reason as "Needle-free connector valves, either standalone or attached to extension sets, may have issues including difficulty to flush, flow issues, and partial or total occlusions, which could lead to therapy delay. Follow-up...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-2457-2021
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
CareFusion 303, Inc
Product
BD Syringe Set 20 DP MIC TBG 0.2MF CKV Anti-Siphon SmartSite VLV Sensing Disc, REF: 10798696; BD Syringe Set 20 DP MIC TBG CKV Anti-Siphon SmartSite VLV Sensing Disc, REF: 10798703;
Product code
FPA Set, Administration, Intravascular
Reason for recall
Needle-free connector valves, either standalone or attached to extension sets, may have issues including difficulty to flush, flow issues, and partial or total occlusions, which could lead to therapy delay. Follow-up activates not required if product has already been used or was safely connected to the female luer of connecting device.
Root cause tag
manufacturing process
FDA root cause
Process control
Action
On 08/02/21, Urgent Medical Device Correction notices were mailed and emailed to consignees who were asked to notify recalling firm if this issue was experienced at 1-844-823-5433, [email protected] . Follow-up activates not required if product has already been used or was safely connected to the female luer of connecting device. If during priming the clinician encounters an occluded needle-free connector, take the following actions: 1) Depress the syringe plunger while the syringe is still attached to the needle-free connector. 2) If unable to depress the plunger, pull back on the syringe plunger and depress the syringe plunger again. Repeating this step may assist in opening the needle-free connector valve. 3) If the valve still is not open; without disconnecting the syringe male luer tip from the BD SmartSite valve surface, carefully unthread and rethread the syringe to partially disengage and reengage the syringe. Repeating this step up to three times may assist in opening the needle-free valve. Note: To maintain sterility, do not allow the syringe and needle-free valve to completely disconnect. 4) If previous steps do not open the valve, then open a new needle-free connector to replace the occluded connector. 5) After the steps above, proceed with the existing instructions for use. 6) Share this correction notification with all users within your facility network of the product to ensure they are also aware of this correction. 7) Complete and return the Customer Response Form. Distributors were asked to identify customers within their distribution network that purchased the affected product and to email an excel file listing of all customers to the recalling firm within 72 hours of receipt of this letter so the recalling firm can initiate customer notification. See online tool to support the identification of impacted lot numbers https://www.bd.com/MDS-21-4144
Quantity in commerce
16,700
Distribution
Worldwide distribution - US Nationwide distribution in the states of FL, PA, NC, OH, SC, IL, RI, MO, NY, TN, AL, VA, PR, CA, NE, NJ, MI, MD, NM, LA, KY, NV, ME, OK, WA, MA, WV, TX, AR, OR, KS, GA, VT, IN, WY, AZ, CO, MN, WI, UT, SD, MS, ID, MT, ND, HI, IA, DC, AK, NH, CT, DE, GU and the countries of CA, NZ, TW, AU, BE, VN, AR, MY, TH, KR, ID, PH, SG, BH, SA, HK, IN, CN, BR.
Product codes and lots
Lots: 20026497 20025590 20076421 21015406 21015407

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2457-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2454-2021Class IIOngoingVoluntary: Firm initiated
Z-2455-2021Class IIOngoingVoluntary: Firm initiated
Z-2456-2021Class IIOngoingVoluntary: Firm initiated
Z-2457-2021Class IIOngoingVoluntary: Firm initiated
Z-2458-2021Class IIOngoingVoluntary: Firm initiated
Z-2459-2021Class IIOngoingVoluntary: Firm initiated
Z-2460-2021Class IIOngoingVoluntary: Firm initiated
Z-2461-2021Class IIOngoingVoluntary: Firm initiated
Z-2462-2021Class IIOngoingVoluntary: Firm initiated
Z-2463-2021Class IIOngoingVoluntary: Firm initiated
Z-2464-2021Class IIOngoingVoluntary: Firm initiated
Z-2465-2021Class IIOngoingVoluntary: Firm initiated
Z-2466-2021Class IIOngoingVoluntary: Firm initiated
Z-2467-2021Class IIOngoingVoluntary: Firm initiated
Z-2468-2021Class IIOngoingVoluntary: Firm initiated