Device recalls

DeRoyal REF 71-C5100NS Tubing, Suction, Connector; DeRoyal REF 71-C6100NS Tubing, Suction, Connector; DeRoyal REF 71-C7100NS Tubing, Suctio…

DeRoyal Industries Inc · Due to the inner diameter of the suction tubing connector being smaller than the suction canister lid port connection. This size difference, combined with the…

Open, ClassifiedUnder Investigation by firmZ-1291-2025
Open FDA's page for this record
Cfres ID
212448
Product res number
Z-1291-2025
Event date initiated
2025-01-31
Event date posted
2025-03-05
Recall status
Open, Classified
Res event number
96261
Product code
GAZ
Firm FEI number
1043214
Recalling firm
DeRoyal Industries Inc
Address 1
200 Debusk Ln
City
Powell
State
TN
Postal code
37849-4703
Additional info contact
Theresa Marsee 865-362-6465
Root cause description
Under Investigation by firm
Product quantity
714 cases
Distribution pattern
U.S.: IL, MN, NC, PA, and VA O.U.S.: N/A
Product description

DeRoyal REF 71-C5100NS Tubing, Suction, Connector; DeRoyal REF 71-C6100NS Tubing, Suction, Connector; DeRoyal REF 71-C7100NS Tubing, Suction, Connector Indicated use - Fluid Movement

Code info

71-C5100NS Bulk Roll Suction Connector Tubing UDI-DI code: 00749756578738 Lot Number: CNWKD04-04 71-C6100NS Bulk Roll Suction Connector Tubing UDI-DI code: 00749756578851 Lot Numbers: CNWKD04-04 CNWKD04-05 CNWKD04-10 CNWKD09-08 71-C7100NS Bulk Roll Suction Connector Tubing UDI-DI code: 00749756578967 Lot Numbers: CNWKD04-06 CNWKD04-07

Reason for recall

Due to the inner diameter of the suction tubing connector being smaller than the suction canister lid port connection. This size difference, combined with the durometer of the plastic material, makes the assembly to a suction canister lid port difficult. This could result in inadequate suction and cause a delay in patient care.

Action

On 01/31/2025, the firm sent an "URGENT: MEDICAL DEVICE RECALL" Letter via email to customers informing them that bulk roll, non-sterile suction connector tubing products and lots which could possibly be defective. The inner diameter of the suction tubing connector, is smaller than the suction canister lid port connection. This size difference, combined with the durometer of the plastic material, makes the assembly to a suction canister lid port difficult. This could result in inadequate suction and cause a delay in patient care. Customers are instructed to: 1) Identify affected product numbers in their inventory and place in quarantine to prevent further use. Destroy all product identified and complete the NOTICE OF RETURN FORM indicating all affected products found in their inventory. Return the completed form to DeRoyal via fax to 865-362-3716 or recalls@deroyal.com no later than March 7, 2025. Complete and return the Notice of Return Form even if you no longer have any invenorty. 2) If affected products have been further distributed to other facilities or departments within customer's institution, customers should be notified of this recall. by either directly forwarding the recall notification and notify DeRoyal that you have done so, or you may provide us with the customer listing and we will contact them. 3) Delay in patient care could lead to serious adverse events. A patient may aspirate, requiring immediate suction to prevent life-threatening injury. Inadequate suction not identified by the clinician could increase infection risk. For questions regarding credit for the recall, contact Jennifer Marsh at jmarsh@deroyal.com or by phone 865-362-6206 or email us at recalls@deroyal.com. If customers prefer to receive replacement product, contact DeRoyal Sales Representative or contact Angie Schubert, Assistant Product Director, at aschubert@deroyal.com.

Harmonized identifiers (openFDA)
Device name
Tubing, Noninvasive
Medical specialty description
General Hospital
Regulation number
880.6740
Device class
2
K number
K830901, K861757, K770920, K945978, K760202, K832519, K830381, K910170, K802777, K790209, K843476, K883473, K952605, K864964, K911865, K780985, K830835, K930512, K780417, K882315, K781127, K802761, K910471, K820004, K910171, K840838, K790358
Registration number
1526611, 8044099, 9610612, 2027804, 9616088, 3006538822, 3004122598, 3002579136, 3021023752, 3018781093, 3015058854, 3005382983, 3005767446, 2029015, 1825014, 2183446, 3010707607, 9610773, 8040459, 1061124, 1055236, 1314417, 3005160810, 3019798849, 9611500, 3015177409, 3026536498, 3033796870, 8021995, 3031231776, 3004111573, 3009750712, 3034629649, 3011137372, 3003995932, 1313525, 3044026004, 9614434, 3004874794, 2032830 +171 more
FEI number
1526611, 3006538822, 3004122598, 3002579136, 3021023752, 1000160458, 3018781093, 3015058854, 3001319476, 3005382983, 3002808273, 3005767446, 1825014, 2183446, 1000208624, 3010707607, 1314417, 3005160810, 3019798849, 3015177409, 3026536498, 3033796870, 3002807091, 1000612470, 3031231776, 3004111573, 3009750712, 3034629649, 3003995932, 3044026004, 3002808268, 3001236905, 3004874794, 3010834934, 3018503755, 2020735, 3008403546, 3011986317, 1000138054, 6612 +171 more
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Data from openFDA, FDA's public API. FDA says not to rely on it to make decisions about medical care and to treat every result as unvalidated; confirm against FDA's own record and the product labeling. Not medical or legal advice.