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Recall Observatory FDA recall evidence

Device product

Fresh Whole Blood Donor Set (P/N 80-801-D NSN 6515016640306) . Blood convenience kit. The Fresh Whole Blood Doner Set contains everything needed to test for ABO/Rh compatibility and collect the whole blood from donor.

Z-1114-2021

December 23, 2020

Class I

Product summary

Firm
Combat Medical Systems, LLC
Event
Event 87084
Status
Terminated
Classification
Class I
Quantity
954 units
Official record key
device-enforcement:Z-1114-2021

Official wording

Reason: There is the potential of a bent or disconnected needle in one of the components of the convenience kits.

Code information: Lot Numbers: MFG2977, MFG2991, MFG3073, MFG3118, MFG3279, MFG3328, MFG3332, MFG3337, MFG3339, MFG3499, MFG3507, MFG3512, MFG3533, MFG3704, MFG3751, MFG3761, MFG3760, MFG3857

Distribution pattern: US Nationwide Distribution

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    There is the potential of a bent or disconnected needle in one of the components of the convenience kits.