FDA Enforcement Class II Terminated

VORTRAN Automatic Resuscitator, VARPlus with Extension Kit; Model PCE-5012; Qty: 10 each. Anesthesiology: This device is to be used by properly trained personnel to deliver emergency, short term, constant flow, pressure cycled ventilatory support.

Recall: Z-2092-2017 · Reported May 24, 2017

Enforcement

Recall Number
Z-2092-2017
Event ID
77072
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Vortran Medical Technology 1, Inc
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
May 24, 2017
Initiation Date
April 20, 2017
Classification Date
May 13, 2017
Termination Date
October 17, 2017
Address
21 Goldenland Court Ste 100, Sacramento, CA, 95834-2427, United States

Description

VORTRAN Automatic Resuscitator, VARPlus with Extension Kit; Model PCE-5012; Qty: 10 each. Anesthesiology: This device is to be used by properly trained personnel to deliver emergency, short term, constant flow, pressure cycled ventilatory support.

Reason

Vortran received a customer complaint that the spin-nut-DSS connector was assembled in the reverse direction on the oxygen tubing; making the connector unable to be screwed on due to the wrong thread direction.

Code Info

Model PCE 5012; Lot number/ expiry date: 1419 PCE , 2019-03-12; 1434 PCE, 2019-06-04.

Distribution

CA, MS, FL

Quantity

14 cases (10 each)