Class I (most serious) Medical Device Z-2157-2026 Ongoing

92,827 hemodialysis catheters recalled — a component whose function is to split apart may not split (Arrow International)

ARROW INTERNATIONAL, LLC Reported May 20, 2026

The U.S. Food and Drug Administration classified the Arrow-Clark VectorFlow hemodialysis catheter as Class I — its most serious category. The 16F splittable sheath introducer included in the kits may not split as intended, which can lead to withdrawal resistance, prolonged procedure time, pain, bleeding, hematoma, and tissue or vessel wall injury. The quantity is 92,827, distributed worldwide including Japan.

Recall overview (primary data)

  • ClassificationClass I (most serious)
  • Product typeMedical Device
  • Recalling firmARROW INTERNATIONAL, LLC
  • Reason16F dual-valved splittable sheath introducer, the subject of a supplier recall, was included in impacted hemodialysis kits & sets. Sheath introducer may not split as intended, and may result in withdrawal resistance, prolonged procedure time, pain, bleeding, hematoma, tissue injury, vessel wall injury.
  • DistributionWorldwide distribution: US nationwide and countries of: AE, AL, AR, AT, AU, BE, BG, BS, BR, BW, CA, CH, CL, CN, CO, CZ, DE, EC, EE, ES, FR, GB, GR, GT, HU, ID, IE, IN, IT, JP, KW, KZ, LB, LT, LU, MN,...
  • Recall initiated2026-04-10

Key points

  • Recall number Z-2157-2026; FDA Class I, the most serious category; status Ongoing; quantity 92,827.
  • The product is the Arrow-Clark VectorFlow hemodialysis catheter and related items, containing a 16F splittable sheath introducer subject to a supplier recall.
  • A splittable sheath is designed to be split lengthwise and peeled away; if it does not split, the routes for removing it are limited.
  • Recorded outcomes: withdrawal resistance, prolonged procedure time, pain, bleeding, hematoma, tissue injury, vessel wall injury.
  • Distribution covers the U.S. plus roughly 60 countries including Japan. Initiated 2026-04-10; reported 2026-05-20.
  • Among the 779 device records this site holds as of 2026-09-01, the reasons give incorrect 63, leak 59, sterility 52, labeling 51, seal and crack 39 each, detach 33 and software 26.

1A component whose function is to break apart

A splittable sheath introducer is a temporary passage for placing a large catheter into a blood vessel. Once the catheter is through, the passage is no longer needed — but it cannot simply be pulled out, because the catheter runs through it. So it is built to be split lengthwise and peeled away to either side. Splitting is, in other words, the design function of this component.

2What happens when it does not split

The outcomes the record lists are withdrawal resistance, prolonged procedure time, pain, bleeding, hematoma, tissue injury, and vessel wall injury. That a single failure to split produces so long a list follows from where the problem occurs: the component is already inside the vessel. Getting a non-functioning part back out means applying force or switching technique, and either loads the vessel. That the fault reveals itself mid-procedure is what sets its weight.

392,827 units and worldwide distribution

The quantity is 92,827, among the larger device recalls this site holds as of 2026-08-28. Distribution covers the United States plus roughly 60 countries and territories, including Japan. This too is a cascade originating in a supplier recall: within our collection, 94 enforcement records across seven companies state a supplier-recall origin.

4What device recalls give as their reason

Of the FDA recall records this site holds as of 2026-09-01, 779 are devices. Counting the words that appear in their reasons gives incorrect in 63, leak in 59, sterility in 52, labeling in 51, seal and crack in 39 each, detach in 33 and software in 26.

Incorrect63 / 779
Leak59 / 779
Sterility52 / 779
Labeling51 / 779
Seal / crack39 / 779
Detach33 / 779
Software26 / 779

What leads the list are physical failures — a part that cannot hold its intended form. A case like this one, where a component meant to split apart does not, belongs to a type peculiar to devices: the fault is not breaking but failing to behave as designed.

Why it matters

Dialysis is continuous treatment with high consumable throughput, so a large recall is a procurement problem as much as an inventory one. Where several companies build on the same upstream component, substitutes can be recalled at the same moment, narrowing the options simultaneously. On the procurement side, knowing in advance which product families depend on a common upstream part is what determines resilience when supply is interrupted.

FAQ

What is a splittable sheath introducer?
A temporary passage for placing a large catheter into a blood vessel. Since it cannot be pulled out once the catheter runs through it, it is built to be split lengthwise and peeled away to either side.
Why does "not splitting" produce so many outcomes?
Because the problem occurs while the component is already inside the vessel. Removing a non-functioning part means applying force or switching technique, and either loads the vessel.
Was it distributed to Japan?
The enforcement record lists roughly 60 countries and territories including Japan (JP). Follow the guidance of your national regulator and the manufacturer for what to do.

Sources (primary)

Source: openFDA (U.S. FDA, CC0 public domain). Data is provided as-is and must not be used for medical decisions. Verify the latest and exact details with the official FDA recall information. This site is not endorsed or certified by the U.S. FDA.

#FDA#Recall#Class I#Medical device#Hemodialysis#Catheter#Supply chain
Disclaimer: This site independently summarizes and classifies information based on official data sources. Always verify the latest and accurate information with the official sources. Content on finance, health, legal, and security is information, not advice. This site is not an official website of the U.S. government.