Recall Z-2092-2017

Vortran Medical Technology 1, Inc · initiated April 20, 2017

Class II Terminated

Class II – products that might cause a temporary health problem or pose a slight threat of a serious nature

Product

VORTRAN Automatic Resuscitator, VARPlus with Extension Kit; Model PCE-5012; Qty: 10 each. Anesthesiology: This device is to be used by properly trained personnel to deliver emergency, short term, constant flow, pressure cycled ventilatory support.

Codes / lots: Model PCE 5012; Lot number/ expiry date: 1419 PCE , 2019-03-12; 1434 PCE, 2019-06-04.

Reason for recall

Vortran received a customer complaint that the spin-nut-DSS connector was assembled in the reverse direction on the oxygen tubing; making the connector unable to be screwed on due to the wrong thread direction.

FDA-determined cause: Process control

Action taken

Medical Device Recall letters were sent on April 20, 2017. Letters explained the reason for recall and listed the specific lots sent to each distributor along with dates, PO numbers and quantity. Vortran Medical asks that each distributor provide a list of customers who received the affected product so that they can notify them directly of the recall.

Details

Recall number
Z-2092-2017
Initiated
April 20, 2017
Posted by FDA
April 25, 2017
Terminated
October 17, 2017
Product code
BTL – Ventilator, Emergency, Powered (Resuscitator)
Quantity
14 cases (10 each)
Distribution
CA, MS, FL
Recalling firm
Vortran Medical Technology 1, Inc, Sacramento, CA

Official FDA recall record

Other products in the same recall event

RecallProductInitiated
Z-2091-2017 Class IIVORTRAN Automatic Resuscitator, VARPlus; Model PTE-5002; Qty: 10 each Anesthesiology:…Vortran received a customer complaint that the spin-nut-DSS connector was assembled in the reverse direction… 04/20/2017Terminated