FDA Enforcement Class II Terminated

Safety PICC Insertion Tray with Chloraprep OneStep - Model #5026CL-9 - 12 pr case. Packaged for Physician use only.

Recall: Z-2096-2015 · Reported July 29, 2015

Enforcement

Recall Number
Z-2096-2015
Event ID
69762
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Custom Healthcare Systems, Inc.
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
E-Mail
Report Date
July 29, 2015
Initiation Date
November 5, 2014
Classification Date
July 17, 2015
Termination Date
January 12, 2016
Address
4205 Eubank Rd, N/A, Richmond, VA, 23231-4328, United States

Description

Safety PICC Insertion Tray with Chloraprep OneStep - Model #5026CL-9 - 12 pr case. Packaged for Physician use only.

Reason

An INCORRECT item number is packed within the OUTSIDE "PIGGYBACKED" PACKAGE. The interior sealed STERILE KIT is correct and NO adverse issues affect that part of the item. The NON-STERILE OUTSIDE "PIGGYBACKED" PACKAGE mistakenly contains ITEM #8881579121 - Syringe prefilled, Saline Flush, 09% Sodium Chloride and is a NONSTERILE PRODUCT that CANNOT BE DROPPED INTO THE STERILE FIELD.

Code Info

Lot#92414 Exp Date 11/1/15, Lot#100214 Exp Date 11/1/15 Lot#100914 Exp Date 11/1/15

Distribution

US Distribution to CT.

Quantity

3 Cs-Lot#92414 , 25 Cs-Lot#100214, 24 Cs-Lot#100914