Device product
REF MC330209 6' (15 cm) Appx 0.09 ml, Smallbore Trifuse Ext Set w/3 MicroClave Clear, 0.2 Micron Filter, 1.2 Micron Filter, 3 Clamps (Blue, Yellow, White), Rotating Luer - Product Usage: The intravascular administration set is a single use, sterile, non-pyrogenic device, which provides access for the administration of fluids from a container to a patient s vascular system through the administration set s needle catheter (which is inserted into a vein). Directions for Use: icumedical IV Extension Sets Clave/MicroClave/NanoClave Connectors Antimicrobial Clave/MicroClave Connectors Spiros Closed Male Luer.
Z-0511-2021
Product summary
- Event
- Event 86075
- Status
- Terminated
- Classification
- Class II
- Quantity
- 1100 units
- Official record key
device-enforcement:Z-0511-2021
Official wording
Reason: Incorrect filter assemblies in IV administration set.
Code information: Product code : MC330209; Lot numbers:4447222, 4536285, 4572773, 4603405 Unique Device Identifier (UDI)s: (01)10887709080543(17)241101(30)50(10)4447222; (01)10887709080543(17)241201(30)50(10)4536285; (01)10887709080543(17)250101(30)50(10)4572773; (01)10887709080543(17)250101(30)50(10)4603405
Distribution pattern: U.S. Nationwide distribution including in the states of WI, MA, CA, FL, MN, IL, NY.
Derived failure modes
-
Unknown
Incorrect filter assemblies in IV administration set.