FDA Enforcement Class II Terminated

Broselow/Hinkle, PEDIATRIC EMERGENCY SYSTEM, PINK/RED Oxygen Delivery Module 2/PACK, Product Code 7700RAW2

Recall: Z-2846-2016 · Reported September 28, 2016

Enforcement

Recall Number
Z-2846-2016
Event ID
74647
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Carefusion 2200 Inc
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
September 28, 2016
Initiation Date
June 29, 2016
Classification Date
September 20, 2016
Termination Date
March 2, 2018
Address
75 N Fairway Dr, Vernon Hills, IL, 60061-1845, United States

Description

Broselow/Hinkle, PEDIATRIC EMERGENCY SYSTEM, PINK/RED Oxygen Delivery Module 2/PACK, Product Code 7700RAW2

Reason

The Oral Airway pouch within the PINK/RED Oxygen Delivery Module, 7700RAW, was incorrectly packaged with the 8 cm Berman Oral Airway. The pouch contained within the module is correctly labeled as 5 cm but actually contains an 8 cm Berman Oral Airway component. Therefore, the component within the pouch is incorrect. The PINK/RED Oxygen Delivery Module, 7700RAW, is intended to be used within the PINK/RED Pouch of the BROSELOW pediatric safety system. Three (3) lots (lot# 914873, lot# 914876 and lot #914878) of the PINK/RED Oxygen Delivery Module, 7700RAW, are affected by this voluntary Field Safety Corrective Action.

Code Info

Lot numbers 914873, 914876, and 914878 of the individual modules (7700RAW), which are contained in Lot number 914867 of the 2/PACK (7700RAW2). Expiration Date JAN 2021.

Distribution

Illinois

Quantity

544 (2/PACKS)