ClearanceBrief
Recall Z-1469-2015 ยท FPA Set, Administration, Intravascular

Churchill Medical Systems, Inc.

4" Microbore Double Lumen Set with Bionector, Product Code: BN-208 Accessory device used to administer medical fluids

DateApr 21, 2015 (initiated Jan 15, 2015)
StatusTerminated
ReasonPotential for leaking caused by insufficient bond between needleless device and female luer.
Root causeProcess design
ActionVygon sent an Urgent Medical Device Recall letter dated January 15, 2015, to all affected customers via email or courier service. The letter instructs consignees to check stock for products included in the scope of the recall, count and document the affected inventory on the "Recall Acknowledgement and Inventory Return Form" and fax or email the form to Vygon. Vygon customer service will then contact the customer to issue a Return Merchandise Authorization Number so the inventory can be replaced at no cost. Distributors were provided with instructions on how to handle product that was further
Quantity2350
DistributionNationwide Distribution including TX, OH, NY, CA, UT, PA, MA, NY, VA, and IL.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K021395MODIFICATION TO 30 EXTENSION SET
Churchill Medical Systems, Inc., May 13, 2002
K070705MODIFICATION TO: LATEX-FREE BIONECTOR, MODEL# 896.019, 896.039
Vygon Corp., Nov 30, 2007
K963981VYGON BIONECTOR WITH EXTENSION SET
Vygon Corp., Feb 14, 1997