The Recall Desk
SevereFDA (Devices)·Z-1833-2021·Announced 2021-06-16

DeRoyal Heart Cath Procedure Packs Recalled for Anesthetic Mislabeling

DeRoyal Industries is recalling 66 heart catheterization procedure packs due to mislabeling of anesthetic contents. The packs contain 0.5% Bupivacaine but are labeled as containing 1% Lidocaine, creating a medication error risk during surgery.

What this means for you

Illness, injury, or structural failure has been reported. Stop using the product immediately and contact the manufacturer for a refund or repair.

Our severity reasoning: This is an FDA Class I medical device recall, which establishes a minimum severity of Severe per the rubric. The mislabeling of a critical anesthetic agent in a cardiac catheterization procedure pack creates a direct medication error risk in a surgical setting.

Plain-English summary

DeRoyal Industries Inc is recalling 66 units of Heart Cath Procedure Packs (REF 89-6556.08) due to mislabeling of the anesthetic agent included in the pack. The procedure packs contain 0.5% Bupivacaine but are labeled and distributed with information indicating 1% Lidocaine, creating a medication identification and dosing risk.

These procedure packs were distributed to healthcare facilities in Mississippi, Virginia, Louisiana, and New York. The affected lot numbers are 54310362 and 54366825, both with expiration dates of 01/01/2022.

This mislabeling creates a significant risk of medication error if surgical teams rely on the labeled information when administering anesthesia during cardiac catheterization procedures. The use of the wrong anesthetic or incorrect dosing based on the label could lead to patient harm.

Healthcare facilities should immediately identify and quarantine the affected packs and cease their use. Affected packs should be returned to DeRoyal Industries Inc.

The recalled product

Product
DeRoyal Heart Cath Procedure Pack, REF 89-6556.08
Manufacturer
DeRoyal Industries Inc
Hazard
  • mis-labeling
  • medication-error

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 (3)

  • Lot Numbers: 54310362
  • exp. 01/01/2022
  • 54366825

Distribution

Distributed nationwide across the United States.