Filter + Catheter Mount, REF 191667-000100, OUS only.… recallZ-0077-2023 · Teleflex LLC · initiated Aug 29, 2022
Open, Classified
Is my device affected?
- Compare the model, catalog and lot or serial numbers on your device or its packaging with the code information below. A recall usually covers only specific models or lots.
- If yours is listed, follow the instructions from Teleflex LLC or your healthcare provider. The company's action is summarized under what the company is doing.
- Do not stop using a prescribed or implanted device on your own — talk to your healthcare provider first.
Where to find your model and lot numbers · What recall classes and statuses mean
Why it was recalled
Incidents of device splitting or detaching during use
FDA root cause category: Under Investigation by firm
What the company is doing
Teleflex, Inc. sent an URGENT MEDICAL DEVICE RECALL notice by Fedex 2-day mail on 08/29/2022. the notice described the problem, listed the complaints and requested the following actions be taken: Medical facilities: 1. Immediately check your inventory for product within the scope of this recall. Cease use and distribution of affected product and immediately quarantine the affected product. 2. If you have impacted product, mark the applicable checkbox on the Acknowledgement Form and contact Teleflex Customer Service by calling the phone number provided. Teleflex Customer Service will issue a return goods authorization (RGA) number to you. Write the RGA number in the Acknowledgement Form and return form by email to [email protected]. 3. If you do not have impacted product, mark the applicable checkbox on the Acknowledgement Form and return the form to Teleflex at [email protected]. 4. Teleflex (or your local dealer) will issue a credit note upon receipt of the returned affected product. Distributors: 1. Provide this recall notice to all customers who have received impacted product. Each of your customers must complete the Acknowledgement Form and return it to you. 2. Immediately check your inventory for impacted product. Cease use and distribution of impacted product and immediately quarantine the affected product. You may return all product in scope. 3. As a distributor, you must confirm to Teleflex that you have completed the field activity outlined in actions 1 and 2 of this Action List Number 2. Upon completion of your actions, please forward the completed Acknowledgement Form to Teleflex Customer Service. Important - Please ensure you only list batch numbers in scope of this recall notice when completing this form. 4. If you have further distributed product outside of your country, please notify Teleflex Customer Service by email to [email protected] On October 28, 2022, the firm sent an updated recall notice with the expansion to additional
Recall details
- Recall number
- Z-0077-2023
- Status
- Open, Classified
- Initiated by the company
- Aug 29, 2022
- Posted by the FDA
- Oct 14, 2022
- Recalling firm
- Teleflex LLC
- Quantity
- 12 units
- Product code
- CAH
- FDA submissions
- K965016
- Distribution
- US nationwide distribution
Product description
Filter + Catheter Mount, REF 191667-000100, OUS only. Catheter mount for circuit-patient connection (Endotracheal tube and mask)
Code information (models, lots, serial numbers)
UDI: (01)04026704561544(17)250728(10)KMH20H0092, (01)04026704561544(17)250728(10)KMH20H0109, (01)04026704561544(17)251028(10)KMH20L0312, (01)04026704561544(17)251028(10)KMH20L0344, (01)04026704561544(17)251128(10)KMH20M0237, (01)04026704561544(17)251228(10)KMH21A0033, (01)04026704561544(17)260128(10)KMH21B0197, (01)04026704561544(17)260328(10)KMH21D0181, (01)04026704561544(17)260828(10)KMH21J0103, (01)04026704561544(17)260828(10)KMH21J0150, (01)04026704561544(17)261228(10)KMH22A0181, (01)04026704561544(17)261228(10)KMH22A0185.
Other devices under the same FDA submission
1 device cleared under K965016 — the recall does not name any of them by identifier. One submission often covers many models, so they may or may not be affected.
- GIBECK IPN043751Teleflex Incorporated · Filter, bacterial, breathing-circuit2 recalls7 reports
Other products in the same recall event
The FDA groups related products into one recall event (event 90816).
- Z-0072-2023 · Open, ClassifiedIso-Gard Filter S, REF : a) 19211, OUS only; b) 19212; Microbial medical gas filter, single-use. Bacterial/viral filters for use in breathing system for the protection of patient…
- Z-0073-2023 · Open, ClassifiedIso-Gard Filter S, with Expandi-Flex, REF: a) 19261, OUS only; b) 19272, OUS only; Microbial medical gas filter, single-use
- Z-0074-2023 · Open, ClassifiedIso-Gard Filter S, Tethered Cap, REF: a) 19211T, OUS only; b) 19212T, OUS only; Microbial medical gas filter, single-use
- Z-0075-2023 · Open, ClassifiedIso-Gard Filter S, with Expandi-Flex, Tethered Cap, REF: a) 19261T, OUS only; b) 19262T, OUS only; c) 19272T, OUS only; Microbial medical gas filter, single-use,
- Z-0076-2023 · Open, ClassifiedIso-Gard Filter S with Expandi-Flex/Elbow: a) REF 19012, OUS only, b) REF 19012T with Tethered Cap, OUS only; Microbial medical gas filter, single-use
Sources and updates
- Recall record: FDA Medical Device Recalls, file dated Oct 16, 2026 · View the FDA recall notice ↗
- Devices: FDA GUDID, file dated Oct 13, 2026. Devices are linked when their identifier (with a valid check digit) appears in the recall's code information.
- Page last rebuilt: Oct 16, 2026. Text above is shown as published by the FDA.
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