ClearanceBrief
Recall Z-2141-2021 ยท CCK Analyzer, Gas, Carbon-Dioxide, Gaseous-Phase

Southmedic, Inc.

OxyMask O2 Adult REF OM-1125-14

DateMay 25, 2021
StatusOpen, Classified
ReasonPotential for oxygen tubing to disconnect from mask or loosen. Disconnected tubing results in a loss of device function and use of the device could result in inappropriate or a lack of oxygen delivery to the patient.
Root causeNonconforming Material/Component
ActionOn 05/25/2021, the firm sent an "Urgent Medical Device Recall" Notice Letter via email with a follow-up telephone conversation on 06/03/2021 to inform customer that the Recalling Firm has become aware of the potential for disconnection of the oxygen tubing at the mask's elbow. This disconnection may result in a loss of device function leading to a lack of oxygen delivery to the patient. Customers are instructed to take the following actions: 1. Review your inventory and confirm whether you are still in possession of the impacted product. 2. Complete the Confirmation Form provided and fax the
Quantity160 cases (25 units per case) in U.S.
DistributionU.S.: IL O.U.S.: N/A
FDA recordOpen on fda.gov

510(k) clearances named in this recall

This recall record lists no 510(k) number.