FDA Recall Terminated

Smoothbore breathing system with exhalation port 22 mm Device REF #: B0062001 Custom Anasthesia Breathing Systems; Multipac Anasthesia Breathing Systems - Product Usage: intended to administer medical gases to a patient during anesthesia. It provides both an inhalation and exhalation route and may include a connector, adaptor, and Y-piece.

Recall: Z-0753-2021 · Initiated November 11, 2020

Recall

Recall Number
Z-0753-2021
Event Number
86800
Firm
Intersurgical Inc
FEI Number
1000120301
Product Code
OFP
Status
Terminated
Root Cause
Process control
Initiated
November 11, 2020
Terminated
August 9, 2022
Address
6757 Kinne St, East Syracuse, NY, 13057-1215

Description

Smoothbore breathing system with exhalation port 22 mm Device REF #: B0062001 Custom Anasthesia Breathing Systems; Multipac Anasthesia Breathing Systems - Product Usage: intended to administer medical gases to a patient during anesthesia. It provides both an inhalation and exhalation route and may include a connector, adaptor, and Y-piece.

Reason

The device was assembled with the incorrect exhalation port which can cause gas leakage.

Action

Recall Strategy and Instruction: 1. Immediately discontinue use and quarantine any stock with the product/lot number described above in this recall notification. 2. If you have distributed any of these products, please immediately contact your customers, advise them of the recall situation and have them return their outstanding recalled stock to you. 3. Complete the Customer Product Recall Acknowledgement Form a. Return the completed form via email to Intersurgical Inc. at [email protected]. b. The subject line should contain Intersurgical Recall: Company name c. Please note: If you do not have the recalled product in stock, please check the appropriate box on the Customer Product Recall Acknowledgement Form. 4. Once we receive your Customer Product Recall Acknowledgement Form, Intersurgical Customer Support will issue a Return Goods Authorization (RGA) Number for the amount of product you have on-hand to return. a. Intersurgical will credit your account when the product is received. Intersurgical is committed to providing high quality, safe and effective products. We sincerely apologize for any inconvenience this action may cause your operations. If you have any other questions, feel free to contact Customer Support at 800-828-9633 or email at [email protected]. Distribution: Distribution began 09/02/2020 Distributed: 200 pieces

Distribution

All of the devices were shipped to the same distributor (McKesson).

Quantity

200 devices