ClearanceBrief
Recall Z-0038-04 ยท CAI Circuit, Breathing (W Connector, Adaptor, Y Piece)

VIASYS Med Systems

Sideport Kit w/Oxygen Line, consisting of an adjustable sideport valve, an O2 port elbow and O2 supply tubing; Mfg. for Corpak MedSystems, Wheeling, IL 60090; 20 units per case; reorder #BLD-83167

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.
Quantity1840 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