This recall involves correcting certain devices, and does not involve removing them from where they are used or sold. The FDA has identified this recall as the most serious type. This device may cause serious injury or death if you continue to use it without correction.

Affected Product

The FDA is aware that Medline has issued a letter to affected customers recommending certain convenience kits be corrected prior to continued use by removing the components affected by the Huons Co., Ltd. recall. Affected devices:

Product Description Kit SKU UDI/DI (each) UDI/DI (case) Lots
TOTAL KNEE CDS CDS983930J 10193489512298 40193489512299 25KBL209
LISTON HIP CDS-LF CDS984556L 10195327554996 40195327554997 24JDC180
LISTON HIP CDS-LF CDS984556L 10195327554996 40195327554997 24HDA321
LISTON HIP CDS-LF CDS984556M 10198459180248 40198459180249 25ADB327
LISTON HIP CDS-LF CDS984556N 10198459266621 40198459266622 26EDA285
LISTON HIP CDS-LF CDS984556N 10198459266621 40198459266622 26DDA718
LISTON HIP CDS-LF CDS984556N 10198459266621 40198459266622 26BDB740
LISTON HIP CDS-LF CDS984556N 10198459266621 40198459266622 26ADB079
LISTON HIP CDS-LF CDS984556N 10198459266621 40198459266622 26ADA161
LISTON HIP CDS-LF CDS984556N 10198459266621 40198459266622 25KDB472
LISTON HIP CDS-LF CDS984556N 10198459266621 40198459266622 25GDA213
LISTON TOTAL KNEE-LF CDSOPT590T 10195327555009 40195327555000 24GDA740
LISTON TOTAL KNEE-LF CDSOPT590U 10198459180255 40198459180256 26EDA279
LISTON TOTAL KNEE-LF CDSOPT590U 10198459180255 40198459180256 26BDB734
LISTON TOTAL KNEE-LF CDSOPT590U 10198459180255 40198459180256 26ADA474
LISTON TOTAL KNEE-LF CDSOPT590U 10198459180255 40198459180256 25LDA001
LISTON TOTAL KNEE-LF CDSOPT590U 10198459180255 40198459180256 25KDB325
LISTON TOTAL KNEE-LF CDSOPT590U 10198459180255 40198459180256 25GDB517
LISTON TOTAL KNEE-LF CDSOPT590U 10198459180255 40198459180256 25FDB017
LISTON TOTAL KNEE-LF CDSOPT590U 10198459180255 40198459180256 25DDA155
LISTON TOTAL KNEE-LF CDSOPT590U 10198459180255 40198459180256 24LDA248
TOTAL KNEE PACK DYNJ905162Q 10198459235900 40198459235901 26CBD346
TOTAL KNEE PACK DYNJ905162Q 10198459235900 40198459235901 25KBU219

What to Do

Do not use Bupivacaine Hydrochloride included in affected kits. Check your stock for convenience kits containing Bupivacaine Hydrochloride in Dextrose Injections and quarantine until over-labels are provided. All remaining components within the kits may continue to be used.

On June 8, Medline sent all affected customers a letter recommending the following actions:

  • Immediately check your stock for the affected item and lot numbers. Quarantine all affected product.
  • Complete the recall response form to receive over-labels to place on affected inventory.
  • Place over-labels on the affected product. The labels provide instructions for staff to remove and discard the affected component prior to using the kit.
  • If you have distributed, resold, or transferred affected products to other companies or individuals, notify them of this recall.

Reason for Correction

Medline is issuing a recall for specific Medline Kits containing ICU Medical, Inc. pain management kits with Huons Bupivacaine Hydrochloride in Dextrose Injection, USP.

Huons Co., Ltd. initiated a recall of Bupivacaine HCL in Dextrose Injection, USP. Risks of using compromised injectables include infection, inflammatory response and/or reduced anesthetic effectiveness. When used in the neuraxial space, there is a risk of cerebral fluid contamination and meningitis that may progress to encephalitis and emergency conversion to general anesthesia.

As of June 8, Medline, Medline has not reported any serious injuries or deaths associated with this issue.

Device Use

Convenience kits contain various surgical instruments, dressings and/or other materials, and pharmaceutical components that are intended to be used during various surgical procedures.

Contact Information

Customers in the U.S. with questions about this recall should contact Medline Industries at 1-866-359-1704, or via email at recalls@medline.com.

Additional FDA Resources

Unique Device Identifier (UDI)

The unique device identifier (UDI) helps identify individual medical devices sold in the United States from distribution to use. The UDI allows for more accurate reporting, reviewing, and analyzing of adverse event reports so that devices can be identified more quickly, and as a result, problems potentially resolved more quickly.

How do I report a problem?

Health care professionals and consumers may report adverse reactions or quality problems they experienced using these devices to MedWatch: The FDA Safety Information and Adverse Event Reporting Program.