—#36179

Product

PASV PICC CUSTOM KIT, 3F, single lumen - CHILDREN''S HEALTHCARE OF ATLANTA, Catalog # 60M195071, UPN # M00160M1950710. Firm on label: Boston Scientific Corp, NAMIC Technology Center, 10 Glens Falls Technical Park, Glens Falls, NY . DEVICE DESCRIPTION: Each kit contains a radiopaque, polyurethane catheter with a hub/suture wing, polyurethane extension leg(s) and luer locking adapter(s). A peel away sheath introducer allows for percutaneous insertion of the catheter. The hub/suture wing promotes fixation of the catheter hub to the patient''s skin.

FDA product code: LJS — Catheter, Intravascular, Therapeutic, Long-Term Greater Than 30 Days
Device class: Class 2
Medical specialty: General Hospital
510(k) numbers: K021704
Affected lot / code info: 876451; 880973; 895705; 895840; 902035; 904140; 912436; 914101; 917478; 920964; 924386; 930246; 933161; 936220; 937349; 941261; 944296; 950194; 951521; 952701; 953969; 956599; 959868; 961578; 963203; 966369; 970121; 977692; 980758; 983865; 985575;

Why it was recalled

Catheter separation immediately distal to the nose of the suture wing.

Root cause (FDA determination)

Other

Action the firm took

Letters dated 11/22/2004 issued via Certified Mail. Customers instructed to return units in inventory. Patients with implanted units are to be evaluated.

Recalling firm

Firm: Boston Scientific Corporation
Address: 1 Boston Scientific Pl, Natick, Massachusetts 01760-1536

Distribution

Distribution pattern: 75 hospitals and medical centers throughout the U.S. One foreign consignee, a hospital in New Brunswick, Canada.

Timeline

Recall initiated: 2004-11-22
Posted by FDA: 2005-01-20
Terminated: 2005-12-16
Status: —

Source: openFDA Device Recall endpoint. Recall record ID #36179. The FDA issues recall classifications as health-hazard assessments, not legal findings; for legal claims consult a licensed attorney.