ClearanceBrief
Recall Z-1333-2011 ยท FPA Set, Administration, Intravascular

Churchill Medical Systems, Inc.

Winged Infusion Set with 90 degree Huber Needle and Y Injection Site Distributed By: FloridaInfustion Services, Inc., Palm Harbor, FL 34683 Item # FIY-2210 Intended use: Intravascular Administration Set

DateFeb 16, 2011 (initiated Nov 16, 2010)
StatusTerminated
ReasonRoutine testing conducted to challenge the success of sterilization was not fully completed for sterile products.
Root causeVendor change control
ActionThe firm, Churchill Medical/Vygon, sent an "URGENT MEDICAL DEVICE RECALL" letter dated November 16, 2010, via overnight mail to all customers. The letter described the product, problem and action to be taken by the customers. The customers were instructed to check their stock for affected product; immediately cease use and distribution and quaratine the affected product; contact Vygon's Customer Service Department at 1-800-473-5414 for a return Merchandise Authorization number; complete and return the Recall Acknowledgement and Inventory Return Form via fax to 215-390-2019 and mail return pr
Quantity1380 units
DistributionNationwide Distribution: USA including states of: CO, IA, OH, MA, MD, MO, NY, FL, SC, FL, and VA.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K020544WING SAFE INFUSION SET 20 GA, SHS2000 SERIES; WING SAFE INFUSION SET 19 GA, SHS1900 SERIES; WING SAFE INFUSION SET 22 GA
Churchill Medical Systems, Inc., Mar 12, 2002