The Recall Desk
HighFDA (Devices)·Z-1057-2022·Announced 2022-05-18

Chemotherapy Infusion Bag Adaptor May Disconnect and Spill Hazardous Drugs

Simplivia Healthcare is recalling OnGuard2 CSTD Bag Adaptors because they may disconnect from infusion bags, potentially spilling hazardous medications.

What this means for you

Real risk of harm even if no illness or injury has been reported yet. Stop using the product and follow the agency's guidance.

Our severity reasoning: FDA Class II medical device with potential for hazardous medication spillage. The hazard is based on product failure (disconnection) risking drug exposure, which qualifies as a risk-of-harm scenario. No illnesses or injuries are documented in the source material, supporting a High severity rating.

Plain-English summary

Simplivia Healthcare Ltd. is recalling the OnGuard2 CSTD Bag Adaptor SP A Chemfort CSTD Product (Product code MG412143) because the adaptor may disconnect from infusion bags, which could result in spillage of hazardous medications.

Affected lots include UBE507, UBE508, UBE509, UBE511, UBE512, UBE513, UBE514, UBE515, UBE516, UBE517, UBE518, UBE526, UBE530, UBE531, UBE533, UBE534, UBE535, and UBE536. Approximately 293,520 units were distributed nationwide across all US states.

Healthcare providers using affected adaptors should immediately stop use and contact Simplivia Healthcare Ltd. for instructions regarding replacement or return of the product.

The recalled product

Product
OnGuard2 CSTD Bag Adaptor SP A Chemfort CSTD Product, Product code MG412143
Manufacturer
SIMPLIVIA HEALTHCARE LTD.
Hazard
  • medication-spillage
  • disconnection-failure
  • chemical-exposure

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (19)

  • UDI: 37290115921435
  • Lots: UBE507
  • UBE508
  • UBE513
  • UBE516
  • UBE517
  • UBE509
  • UBE511
  • UBE512
  • UBE514
  • UBE515
  • UBE518
  • UBE526
  • UBE530
  • UBE531
  • UBE534
  • UBE533
  • UBE535
  • UBE536

Distribution

Distributed nationwide across the United States.