Johnson Test Papers Limited PH Indicator Strips 0-6 (ICN 1229)

MHRA: 2021/003/019/601/007

NHSSC: 90

Alert:            

• Johnson Test Papers Limited has issued an urgent Field Safety Notice to recall a single lot number, 103CE29, of the pH Indicator strip. This is following discovery that the wrong indicator strip, namely 2-9 pH has been packaged in the pH-06 strips packaging.
• Johnson Test Papers was made aware of this issue when a customer noticed the test pad was a different colour. The middle pad for the pH indicator strips 0-6 is blue whereas the middle pad for the pH indicator strips 2-9 is green.
• The hazard of using pH 2-9 indicator strips with the pH0-6 printed scale is that the value read will not be accurate. Misinterpretation of pH may lead to a wrong clinical decision of nasogastric tube position in the stomach leading to additional clinical procedures or initiation of feeding while the feeding tube is not in the stomach.

Products Affected:  

• There is one NHS Supply Chain product code affected:

• The supplier confirms the withdrawal of this single lot number will have no impact on availability of the product.

Next Steps:

• Share this notice with all within your organisation who may have received these products.
• Check all storage and usage locations for lot number 103CE29.
• Discontinue using and quarantine the specific product / lot number combination, including opened packs of the product.
• Complete and return the Acknowledgement form, page four of the Field Safety Notice, and return to: EMEAFieldAction@avanos.com.
• Contact your local NHS Supply Chain Customer Service Advisor with full details of the affected products in your possession to arrange return for credit using reason code 7 “Supplier Recall”. All goods to be returned no later than Friday 23 April 2021.

If you have any further questions, please contact your local NHS Supply Chain Customer Service Advisor