ClearanceBrief
Recall Z-0764-2025 ยท FPA Set, Administration, Intravascular

MEDLINE INDUSTRIES, LP - Northfield

Medline Fluid Delivery Set with Drip Chamber: 1) FDS,135,CHMN,W/F,MLL,RC(2),PG, Item Number 99000069; 2) FDS,135,NV,MICRO-CHAMBER,W/FILTER,BLUE, Item Number 949000222; 3) FDS,135,NV,MICRO-CHAMBER,W/FILTER,GREEN, Item Number 949000224; 4) FDS,135,NV,MICRO-CHAMBER,W/FILTER,RED, Item Number 949000221; 5) FDS,135,NV,MICRO-CHAMBER,W/FILTER,YELLOW, Item Number 949000223

DateJan 15, 2025 (initiated Dec 16, 2024)
StatusOpen, Classified
ReasonFluid Delivery Sets were incorrectly assembled with a white macro drip chamber instead of the required grey micro drip chamber. The macro drip chamber delivers three times more fluid per drop than the micro drip chamber.
Root causeUnder Investigation by firm
ActionAn IMMEDIATE ACTION REQUIRED MEDICAL DEVICE RECALL notification letter dated 12/16/24 was sent to customers. REQUIRED ACTION: 1. Immediately check your stock for the affected item number and the affected lot numbers which can be located within the recall portal. Quarantine all affected product immediately. 2. Please use the link and the information below to complete your response form. Please list the quantity of affected product you have in inventory on the form. Even if you do not have any affected product in inventory, please complete and submit the response form. 3. Upon receipt of your
Quantity13,600 units
DistributionUS Nationwide Distribution
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K852140NAMIC CONTRAST & FLUID DELIVERY SPIKES(VARIOUS)
North American Instrument Corp., May 30, 1985