ClearanceBrief
Recall Z-0715-2013 ยท FIE Needle, Fistula

Medisystems a NX Stage Company

Medisystems 17 Gauge x 1" inch AV Fistula Needle Product Code: D9-2007MGLB Product Usage: Medisystems AVF with MasterGuard anti-stick needle protector is indicated for use as a vascular access device in hemodialysis or other extracorporeal procedures. It is intended for use in conjunction with a blood tubing set equipped with a standard medical male luer-locking connector

DateJan 24, 2013 (initiated Dec 20, 2012)
StatusTerminated
ReasonSingle needle packs in each case ( 10 needles per case) are mislabeled on the pouch as 15 Gauge needles instead of 17 Gauge
Root causeLabeling mix-ups
ActionMedisystems sent a notification letter dated December 20, 2012 to affected customers. The letter identified the affected products, problem and actions to be taken. Customers were instructed to immediately open and inspect inventory for the affected products. Results of the inspection are to be provided to Medisystems and the product is to be returned to Medisystems. For questions call (978) 332-5973.
Quantity16 cases (15 cs x 250 ea) 4,000 needles
DistributionUS Nationwide Distribution in the states of NY, PA and TN.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K910734MEDISYSTEMS HEMODIALYSIS FISTULA SET
Medisystems Corp., Jun 20, 1991