ClearanceBrief
Recall Z-0033-04 ยท CAI Circuit, Breathing (W Connector, Adaptor, Y Piece)

VIASYS Med Systems

Neonatal/Infant Hyperinflation Circuit, consisting of a 0.5 L breathing bag, pressure monitoring tube with Bird adapter, oxygen supply tubing, sideport connector with adjustable bleed valve, and 40 cm H2O Popoff elbow; Mfg. for Corpak MedSystems, Wheeling, IL 60090; 20 units per case; reorder #BLD-83124-2

DateOct 15, 2003 (initiated Sep 10, 2003)
StatusTerminated
ReasonThe exhalation hole in the sideport relief valve may be blocked, allowing excess pressure build-up.
Root causeOther
ActionVIASYS telephoned the direct accounts and sent out follow-up faxes on 9/10-11/03, informing them of the potential for a blocked exhalation hole in the sideport relief valve cap which may result in excess pressure build-up. The accounts were instructed to check their inventory for the affected catalog numbers and lots numbers, place any found on hold for return to VIASYS, and sub-recall the affected product from their customers.
Quantity540 units
DistributionMissouri, Texas, New York, Illinois, Kansas, California, Pennsylvania, Georgia, Arizona, Massachusetts, Maine, Oklahoma and Virginia.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K930252BABYSET AND PAC (PULMONARY ASSIST CIRCUIT)
Bird Life Design, Feb 9, 1993