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U.S. Department of Health and Human Services

Class 2 Device Recall Sarns Disposable Centrifugal Pump

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  Class 2 Device Recall Sarns Disposable Centrifugal Pump see related information
Date Initiated by Firm April 14, 2014
Date Posted July 11, 2014
Recall Status1 Terminated 3 on September 07, 2016
Recall Number Z-2028-2014
Recall Event ID 68024
510(K)Number K112229  
Product Classification Pump, blood, cardiopulmonary bypass, non-roller type - Product Code KFM
Product Sarns Disposable Centrifugal Pump without X-Coating,164275, is a sterile, single use device.

For use in cardiopulmonary bypass procedures.
Code Information Lot No. RA07, Lot No. QP02
Recalling Firm/
Manufacturer
Terumo Cardiovascular Systems Corporation
125 Blue Ball Rd
Elkton MD 21921-5315
For Additional Information Contact Garry A. Courtney
410-392-7102
Manufacturer Reason
for Recall
During set-up and priming of the bypass circuit, leaks were detected on the centrifugal pumphead.
FDA Determined
Cause 2
Device Design
Action Urgent Medical Device Recall letters, dated April 11, 2014, were sent to customers. The letters identified the affected product, as well as the reason for the correction, the potential hazard, the correction, the affected population, and instructions for customers. Customers are to review the notice and ensure that all users have received a copy. Additionally, customers are to confirm receipt of the communication by returning the attached Customer Response Form as instructed; and, return all effected centrifugal pumps. Terumo CVS will issue a Returned Goods Authorization upon receipt of the Response Form. Questions should be directed to Terumo CVS Customer Service at 800-521-2818.
Distribution Nationwide Distribution
Total Product Life Cycle TPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = KFM and Original Applicant = TERUMO CARDIOVASCULAR SYSTEMS
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