ClearanceBrief
Recall Z-0030-2014 ยท JKA Tubes, Vials, Systems, Serum Separators, Blood Collection

Perkin Elmer Health Sciences, Inc.

Perkin Elmer 226 Sample Collection Device, Serial numbers: 06132903 - 06198900. The PerkinElmer 226 Sample Collection Devices are intended to be used as a medium to collect and transport whole blood specimen spots to a laboratory, in newborn screening. The device includes a tear-apart form for the collection of demographic information.

DateOct 18, 2013 (initiated Sep 5, 2013)
StatusTerminated
ReasonSome devices may be contaminated on the back side of the device with glue in the blood application area.
Root causeMaterial/Component Contamination
ActionThe firm, Perkin Elmer, sent an "URGENT - MEDICAL DEVICE RECALL" letter dated September 5, 2013 via email to its consignees. The letter describes the product, problem and actions to be taken. The customers were instructed to immediately notify all submitting facilities and personnel that have received the PerkinElmer 226 Sample Collection Device of the potential glue contamination and to distribute the enclosed record of actions form to all submitting facilities/personnel and encourage them to perform the inspection activities as listed in the letter; and complete and return the enclosed Reca
Quantity65,984 devices
DistributionUS distribution in OH
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K121864PERKINELMER 226 SAMPLE COLLECTION DEVICES
Perkinelmer, Inc., Mar 12, 2013