ClearanceBrief
Recall Z-0826-2014 ยท FPA Set, Administration, Intravascular

Navilyst Medical, Inc.

Port Kit with Access Infusion Set under the following labels: 1) 8F/SL/Plastic Port/F, Product Number H965450140, Catalog Number 45-014; 2) 8F/SL/Titanium Ports/NF, Product Number H965450170, Catalog Number 45-017; 3) 6F/SL/Plastic Port/F, Product Number H965450200, Catalog Number 45-020; 4) 8F/SL/Plastic Port/F, Product Number H965450220, Catalog Number 45-022; 5) 8F/SL/Titanium Ports/F, Product

DateJan 24, 2014 (initiated Nov 25, 2013)
StatusTerminated
ReasonNavilyst Medical has recalled a Port Kit with Access Infusion Set due to a possible breach of sterilization barrier.
Root causeDevice Design
ActionNavilyst Medical, Inc., sent an Urgent Medical Device Recall - Immediate Action Required letter dated November 25, 2013 to their customers via Federal Express. The letter identified the affected product, problem and actions to be taken. Customers are instructed to segregate and return all affected devices to Navilyst Medical, Inc. Distribution Center Attn: QA Returns 10 Glens Falls Technical Park Glens Falls, NY 12801 and complete and return the Reply Verification Tracking Form provided in the recall notification via Fax to: 1-800-782-1357. For questions call 1-800-833-9973 between 8:30 am
Quantity920 Total kits
DistributionUS Nationwide Distribution in the states of CA, CT, DC, MA, NJ, NY, PA, MD, VA, WV, NC, GA, FL, TN, OH, MN, MT, IL, MO, NE, OK, TX, NM, and WA.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K100720K-SHIELD PORT ACCESS INFUSION SET WITH HIGH PRESSURE TUBING
Kawasumi Laboratories, Inc., Nov 18, 2010
K122767NMI PORT
Navilyst Medical, Inc., Apr 30, 2013
K131694NMI PORT II CATHETER
Navilyst Medical, Inc., Aug 8, 2013