Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0114-2024Class II

HydroPICC 5Fr Dual Lumen, 80cm guidewire - Basic Kit, Product Model Number 80002002

Access Vascular, Inc / initiated 2023-08-31 / Open, Classified / root cause: labeling and UDI

Access Vascular, Inc began a recall of HydroPICC 5Fr Dual Lumen, 80cm guidewire - Basic Kit, Product Model Number 80002002 on . FDA classified it as Class II and gives the reason as "Specific lots of the Dual Lumen HydroPICC Kits were provided with the incorrect revision of the Instructions For Use (IFU) which do not include the following warnings statement: HydroPICC Dual Lumen Catheter is for...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-0114-2024
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Access Vascular, Inc
Product
HydroPICC 5Fr Dual Lumen, 80cm guidewire - Basic Kit, Product Model Number 80002002
Product code
LJS Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days
Reason for recall
Specific lots of the Dual Lumen HydroPICC Kits were provided with the incorrect revision of the Instructions For Use (IFU) which do not include the following warnings statement: HydroPICC Dual Lumen Catheter is for adult use only. There is a potential risk to health should the HydroPICC Dual Lumen Catheter be used in an inadequately sized vessel. There have been no reported adverse events to date.
Root cause tag
labeling and UDI
FDA root cause
Error in labeling
Action
An Urgent Medical Device Correction notification letter dated 8/25/23 was sent to customers. Our records indicate that your facility has received kits from the affected lots. We are contacting you to provide information on action to take to ensure patient safety. - Product that has already been used: No action required. All catheters to date have been used with adult patients. - Product that has not been used: The kit does not have the current IFU. Please refer to the Rev C. IFU provided with this letter. Also, the Patient Information Card, part number LS-067, includes a barcode link to the current revision of the IFU on AVIs website. The following page identifies the shipments you have received with these impacted lots. Please forward this notice in the event the affected product was further distributed. We will contact you to identify the number of kits that are currently in your inventory and determine the appropriate correction with your input, in a timely manner. If you have any questions about this communication, please contact us at 781-538-6594.
Quantity in commerce
58 total
Distribution
US Nationwide distribution in the states of IL, TX.
Product codes and lots
UDI-DI: 00850030354044; Lot Number: 11423187

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0114-2024
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0114-2024Class IIOngoingVoluntary: Firm initiated
Z-0115-2024Class IIOngoingVoluntary: Firm initiated