Recall Z-0016-2012

Deroyal Industries, Inc. Lafollette · initiated August 23, 2011

Terminated

Product

DeRoyal (R) Heat/Moist Exchange, REF 83-000042, Rx Only, NON-STERILE, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA: Intended Use: Varies by kit; an anesthesia breathing circuit is a device that is 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.

Codes / lots: Lot Numbers: 25402698, 25834829

Reason for recall

The firm manufactured kits containing a HCH device, manufactured by Vital Signs, that was subsequently recalled because the product may have an occlusion that could prevent proper flow of medical gases or oxygen to the patient.

FDA-determined cause: Nonconforming Material/Component

Action taken

The firm, DeRoyal, sent a "URGENT: MEDICAL DEVICE RECALL" letter dated September 13, 2011 to its customers. The letter describes product, problem, and actions to be taken. Customers are instructed to identify inventory being recalled and place in quarantine to prevent further use. Constomers were asked to return affected product they have in inventory. DeRoyal will replace this product free of charge. Customers were asked to complete the attached Recall Response Spreadsheet and return as per the instructions. Constomers were asked to return affected product they have in inventory. DeRoyal will replace this product free of charge. Distributors were instructed to perform a sub-recall to their customers. Customers with questions should call 865-362-1037 between 9am and 5pm EST or email recalls@deroyal.com.

Details

Recall number
Z-0016-2012
Initiated
August 23, 2011
Posted by FDA
October 6, 2011
Terminated
January 30, 2013
Product code
OFD – Catheter Introducer Kit
Quantity
200 units
Distribution
Nationawide Distribution USA - including the states of: CA, FL, GA, NJ, and WA.
Recalling firm
Deroyal Industries, Inc. Lafollette, La Follette, TN

Official FDA recall record

Other products in the same recall event

RecallProductInitiated
Z-0015-2012 Custom anesthesia kits labeled as follows: (1) DeRoyal (R) Adult Exp Anesthesia Circuit…The firm manufactured kits containing a HCH device, manufactured by Vital Signs, that was subsequently… 08/23/2011Terminated