ClearanceBrief
Recall Z-1080-2010 ยท FPA Set, Administration, Intravascular

Medical Product Specialist Inc dba MPS Acacia

Acacia Catalog # 385166 Dual "Y" IV Extension Set 50cm Macro Bore, Spin Nut w/BD Q-Syte

DateMar 30, 2010 (initiated Dec 18, 2009)
StatusTerminated
ReasonSome lots of IV Extension Sets with BD Q-Syte Luer Access Split Septum have a manufacturing deviation which could cause the product to not function properly, possibly resulting in an air embolism.
Root causeProcess design
ActionA letter dated December 18, 2009 was sent to Acacia customers with the following instructions. 1. Immediately review your inventory of Acacia IV Extension Sets with BD Q-Syte for REF numbers and lot numbers listed and remove them from all inventory printed on the unit packaging , shelf box and shelf shipper containers. 2. Complete the Distributor Recall response Card (Attachment 1) and return by fax immediately to the number on the Distributor Recall Response Card for product in your facility at the time of receipt of this letter. This form must be completed and f axed to Acacia, Inc even
Quantity9,515
DistributionUS Only
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K895367INTRAVENOUS EXTENSION SET
Medical Product Specialists, Oct 6, 1989