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Recall Observatory FDA recall evidence

Device product

Medisystems 17 Gauge x 1" inch AV Fistula Needle Product Code: D9-2007MGLB Product Usage: Medisystems AVF with MasterGuard anti-stick needle protector is indicated for use as a vascular access device in hemodialysis or other extracorporeal procedures. It is intended for use in conjunction with a blood tubing set equipped with a standard medical male luer-locking connector

Z-0715-2013

December 20, 2012

Class II

Product summary

Firm
Medisystems a NX Stage Company
Event
Event 63959
Status
Terminated
Classification
Class II
Quantity
16 cases (15 cs x 250 ea) 4,000 needles
Official record key
device-enforcement:Z-0715-2013

Official wording

Reason: Single needle packs in each case ( 10 needles per case) are mislabeled on the pouch as 15 Gauge needles instead of 17 Gauge

Code information: Lot: Number: 110914F8

Distribution pattern: US Nationwide Distribution in the states of NY, PA and TN.

Derived failure modes

  • Labeling or packaging

    reason.labeling_packaging · v1.0.0

    mislabeled