FDA Enforcement Class II Terminated

Custom Healthcare Systems, Inc. Inpatient Dialysis Kit PAK-19244. Single use. Dialysis kit

Recall: Z-0863-2020 · Reported February 5, 2020

Enforcement

Recall Number
Z-0863-2020
Event ID
84693
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Custom Healthcare Systems, Inc.
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Telephone
Report Date
February 5, 2020
Initiation Date
December 20, 2019
Classification Date
January 24, 2020
Termination Date
August 1, 2022
Address
4205 Eubank Rd, N/A, Richmond, VA, 23231-4328, United States

Description

Custom Healthcare Systems, Inc. Inpatient Dialysis Kit PAK-19244. Single use. Dialysis kit

Reason

A component (1961 TELFA PAD 2 X 3) contains LATEX and was used in the Medical Convenience Kit(PAK-19244). Case label and device label for product did NOT show that the Medical Convenience Kit contained LATEX.

Code Info

LOT NUMBER: 20190614, expires February 1, 2020 UNIQUE DEVICE IDENTIFIER: (01)00811870033261(17)200201(10)20190614

Distribution

US Distribution to IL.

Quantity

240 kits