Smoothbore breathing system with exhalation port 22 mm Device REF #: B0062001 Custom Anasthesia B...

FDA Device Recall #Z-0753-2021 — Class II — November 11, 2020

Recall Summary

Recall Number Z-0753-2021
Classification Class II — Moderate risk
Date Initiated November 11, 2020
Status Terminated
Voluntary Voluntary: Firm initiated

Recalling Firm

Firm Intersurgical Inc
Location East Syracuse, NY
Product Type Devices
Quantity 200 devices

Product Description

Smoothbore breathing system with exhalation port 22 mm Device REF #: B0062001 Custom Anasthesia Breathing Systems; Multipac Anasthesia Breathing Systems - Product Usage: intended to administer medical gases to a patient during anesthesia. It provides both an inhalation and exhalation route and may include a connector, adaptor, and Y-piece.

Reason for Recall

The device was assembled with the incorrect exhalation port which can cause gas leakage.

Distribution Pattern

All of the devices were shipped to the same distributor (McKesson).

Lot / Code Information

Model Number: B0062001 Lot Numbers: 4200283 and 4200286 UDI Codes: (01)00081647202239(10)4200286 (01)00081647202239(10)4200283

Other Recalls from Intersurgical Inc

Recall # Classification Product Date
Z-2275-2025 Class II One-piece Guedel airway, size 2, ISO 8.0, green... Jun 20, 2025
Z-2276-2025 Class II One-piece Guedel airway, size 3, ISO 9.0, yello... Jun 20, 2025
Z-2102-2025 Class I i-view video laryngoscope. Model Number: 800800... Jun 17, 2025
Z-0096-2023 Class II Intersurgical Solus Standard, laryngeal mask ai... Aug 29, 2022
Z-0786-2020 Class II Superset with 22MM ID, Double Swivel Elbow 22MM... Aug 7, 2019

Frequently Asked Questions

Contact your healthcare provider and the device manufacturer immediately. Check whether your specific model number and lot number are included in the recall scope. For external devices, stop using the affected product and arrange a replacement. For implanted devices, do not panic — removal is typically not required unless the risk assessment clearly indicates it. Your physician will guide you based on your individual clinical situation and the FDA's recommended actions. Report any adverse effects you may have experienced to FDA MedWatch at 1-800-FDA-1088.

Class I recalls indicate a reasonable probability of serious adverse health consequences or death from the defect. Class II recalls involve products that may cause temporary or medically reversible adverse health consequences, or where serious consequences are remote. Class III recalls cover products not likely to cause any adverse health consequences, typically involving technical regulatory violations. The classification guides urgency — Class I recalls require immediate action, while Class III may simply involve returning a product or acknowledging a labeling change. Always read the specific recall notice for recommended patient actions.

Report problems with medical devices to the FDA through MedWatch at 1-800-FDA-1088 or online at FDA.gov/safety/medwatch. Healthcare facilities are required by law to report device-related serious injuries and deaths. Patients and consumers can also report voluntarily. Include the device name, manufacturer, model number, and a description of the problem and any patient outcome. Reports from patients and clinicians help the FDA identify emerging safety signals and may trigger investigations that lead to recalls of dangerous devices.

What Should You Do?

Stop using this device if you are affected by this recall. Contact your healthcare provider and the manufacturer immediately for guidance. Report adverse events to FDA MedWatch.