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Recall Observatory FDA recall evidence

Device product

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.

Z-0753-2021

November 11, 2020

Class II

Product summary

Firm
Intersurgical Inc
Event
Event 86800
Status
Terminated
Classification
Class II
Quantity
200 devices
Official record key
device-enforcement:Z-0753-2021

Official wording

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

Code information: Model Number: B0062001 Lot Numbers: 4200283 and 4200286 UDI Codes: (01)00081647202239(10)4200286 (01)00081647202239(10)4200283

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

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

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