ClearanceBrief
Recall Z-2627-2010 ยท FPA Set, Administration, Intravascular

Hospira Inc.

Gemstar Pump Set, Latex-Free Extension Set with Integral Pressure-Activated Anti-Siphon Valve and Y-Extension with Backcheck Valve-SL, Nonvented, 110 inch; Rx, sterile, 24 individually packaged sets per case; Hospira, Inc., Lake Forest, IL 60045 USA, Made in Costa Rica; list number 12640-01

DateSep 29, 2010 (initiated Aug 12, 2010)
StatusTerminated
ReasonUnderdelivery of infusion during clinical use at low rate settings (less than 10 mL/hour). Patient may not receive the intended amount of medication.
Root causeNonconforming Material/Component
ActionHospira issued Urgent Device Recall letters dated August 12, 2010 to Hospira's direct accounts, informing them of the potential for under delivery under low rate settings using the affected lots of pump sets. The accounts were instructed to examine their inventory for the affected product, quarantine it immediately, and complete the attached reply form indicating the amount of product being returned, faxing it to Stericycle at 1-877-523-9110. If they distributed the affected product further, they were instructed to sub-recall the product from their sub-accounts. Accounts may contact Hospira Cu
Quantity22,680 sets
DistributionWorldwide Distribution: USA, (all states), and the countries of Canada, Costa Rica and Taiwan.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K060806HOSPIRA GEMSTAR INFUSION PUMP SYSTEM, 7 THERAPY, MODEL 13087; 6 THERAPY, MODEL 13086; PAIN MANAGEMENT, MODEL 13088
Hospira, Inc., Apr 21, 2006