The Recall Desk
SevereFDA (Devices)·Z-1920-2020·Announced 2020-05-13

ICU Medical Recalls 10 Drop Primary IV Sets Due to Cannula Error

ICU Medical is recalling 50 units of 10 Drop Primary IV Sets because they may contain 15 drops/mL cannulas, risking under-delivery of critical medications.

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: The source text explicitly states that the defect 'may lead to serious adverse health consequences' due to under-delivery of critical medication, which aligns with the rubric criterion for 'significant injury' or high-risk medical device defects.

Plain-English summary

ICU Medical, Inc. is recalling 50 units of REF: Z3806, 131" (333 cm) 10 Drop Primary Set w/2 MicroClave, Remv 4 Gang 4-way Stopcocks (1 Remv), Check Valve, Rotating Luer, 1 Ext, Sterile R. The affected lot number is 4169642. The product is a sterile intravenous administration set.

The recall is due to a potential manufacturing error where the IV administration sets may contain a 15 drops/mL drop cannula instead of the intended 10 drops/mL drop cannula within the drip chamber. An infusion set with an incorrect drop cannula could result in inaccurate delivery of the intended infusion volume, specifically under-delivery. This could lead to the under-delivery of critical medication, which may result in serious adverse health consequences.

The affected units were distributed to facilities in the United States (including AK, AL, AR, AZ, CA, CO, CT, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, SD, TN, TX, UT, VA, WA, WI, WY) and Canada. The source text notes that REF numbers AH7117 and B30211 were not marketed or distributed within the US. Healthcare facilities should check their inventory for this specific lot number and discontinue use of the affected sets.

The recalled product

Product
REF: Z3806, 131" (333 cm) 10 Drop Primary Set w/2 MicroClave, Remv 4 Gang 4-way Stopcocks (1 Remv), Check Valve, Rotating Luer, 1 Ext, Sterile R, UDI: (01)00887709059108
Manufacturer
ICU Medical, Inc.
Affected units
50

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 (1)

  • Lot number: 4169642

Distribution

Part of a larger recall action

This product is one of 10 recalled by ICU Medical, Inc. under a single FDA (Devices) recall action. The agency files each product separately, so the size of the action is not visible from this page alone.

See all 10 products in this recall →