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Fresenius Kabi USA, LLC D-0432-2026: Recalls Sodium Chloride Injection, Class II

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Summary

Fresenius Kabi USA initiated a voluntary Class II recall of 0.9% Sodium Chloride Injection, USP 500 mL freeflex bags (NDC: 65219-328, 65219-432) distributed nationwide, Alaska, and Puerto Rico due to Lack of Assurance of Sterility. The recall affects two batches: Batch# 23DU10004 (Exp 04/30/2026) and Batch# 23HU10006 (Exp 06/30/2026). FDA classified this as a Class II recall on 2026-04-03.

Published by Fresenius Kabi on changeflow.com . Detected, standardized, and enriched by GovPing. Review our methodology and editorial standards .

What changed

Fresenius Kabi USA initiated a voluntary Class II recall of 0.9% Sodium Chloride Injection, USP in 500 mL single-dose freeflex bags due to lack of sterility assurance. Two batches are affected: Batch# 23DU10004 (exp 04/30/2026) and Batch# 23HU10006 (exp 06/30/2026). The product was distributed nationwide, including Alaska and Puerto Rico.

Healthcare providers and facilities that have this product in stock should verify their inventory against the affected lot numbers and initiate return procedures per the firm's notification letter. Patients receiving this product should be monitored for signs of infection per the drug label's adverse reactions guidance.

Archived snapshot

Apr 20, 2026

GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.

Fresenius Kabi USA, LLC

Drug Recalls (Class II)

← All Drug Recalls (Class II) Class II D-0432-2026 · 20260415 · Ongoing · Voluntary: Firm initiated

Product

0.9% Sodium Chloride Injection, USP 900 mg per 100 mL (9 mg per mL) 500 mL in a Single Dose freeflex bag, 500 mL x 20, Manufactured for: Fresenius Kabi USA, LLC ("Fresenius Kabi"), IL 60047, Unit o...

Reason for Recall

Lack of Assurance of Sterility

Affected Lot Numbers / Codes

Batch# 23DU10004, Exp Date: 04/30/2026; Batch# 23HU10006, Exp Date: 06/30/2026.

Firm Notification Method

Letter

Distribution

US Nationwide , Alaska, and Puerto Rico.

Initiated

20260311

FDA Classified

20260403

Product Registration

Brand: SODIUM CHLORIDE

Manufacturer: Fresenius Kabi USA, LLC

Application: ANDA207310

NDC: 65219-328, 65219-432

Drug Label Context (from openFDA)

The following is from the manufacturer's FDA-approved drug label, not recall-specific. Provided for context.

Indications & Usage

INDICATIONS AND USAGE Intravenous solutions containing sodium chloride are indicated for parenteral replenishment of fluid and sodium chloride as required by the clinical condition of the patient.

Dosage & Administration

DOSAGE AND ADMINISTRATION The dose is dependent upon the age, weight and clinical condition of the patient. Additives may be incompatible. Consult with pharmacist, if available. When introducing additives, use aseptic technique, mix thoroughly and do not store. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit (see PRECAUTIONS ).

Contraindications

CONTRAINDICATIONS None known.

Warnings

WARNINGS Sodium Chloride Injection, USP should be used with great care, if at all, in patients with congestive heart failure, severe renal insufficiency and in clinical states in which there exists edema with sodium retention. The intravenous administration of Sodium Chloride Injection, USP can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, overhydration, congested states or pulmonary edema. The risk of dilutive states is inversely proportiona...

Adverse Reactions

ADVERSE REACTIONS Reactions which may occur because of the solution or the technique of administration include febrile response, infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection, extravasation and hypervolemia. If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate therapeutic countermeasures and save the remainder of the fluid for examination if deemed necessary. To report SUSPECTED ADVER...

Drug Interactions

DRUG INTERACTIONS Caution must be exercised in the administration of Sodium Chloride Injection, USP to patients receiving corticosteroids or corticotropin. Carcinogenesis, Mutagenesis, Impairment of Fertility Studies have not been performed with Sodium Chloride Injection, USP to evaluate the potential for carcinogenesis, mutagenesis or impairment of fertility. Pregnancy: Teratogenic Effects Animal reproduction studies have not been conducted with Sodium Chloride Injection, USP. It is also not...

How Supplied

HOW SUPPLIED 0.9% Sodium Chloride Injection, USP is supplied in single-dose flexible plastic container as follows: Product Code Unit of Sale Strength Each 6B1285 65219-432-85 Package of 20 0.9% (9 mg/mL) 65219-432-20 500 mL in a 500 mL free flex ® bag 6B1450 65219-328-50 Package of 10 0.9% (9 mg/mL) 65219-328-10 1,000 mL in a 1,000 mL free flex ® bag Store at 20° to 25°C (68° to 77°F) [see USP ...

Sources: openFDA · Raw JSON

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Last updated

Classification

Agency
Fresenius Kabi
Filed
April 3rd, 2026
Instrument
Enforcement
Branch
Executive
Legal weight
Binding
Stage
Final
Change scope
Substantive
Document ID
D-0432-2026

Who this affects

Applies to
Pharmaceutical companies Medical device makers
Industry sector
3254 Pharmaceutical Manufacturing 3345 Medical Device Manufacturing
Activity scope
Sterile product recall Pharmaceutical distribution Quality assurance
Geographic scope
United States US

Taxonomy

Primary area
Pharmaceuticals
Operational domain
Clinical Operations
Compliance frameworks
GxP FDA 21 CFR Part 11
Topics
Medical Devices Product Safety Healthcare

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