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U.S. Department of Health and Human Services

Class 2 Device Recall Arrow

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 Class 2 Device Recall Arrowsee related information
Date Initiated by FirmNovember 08, 2013
Date PostedMarch 10, 2015
Recall Status1 Terminated 3 on March 16, 2015
Recall NumberZ-1259-2015
Recall Event ID 70603
510(K)NumberK021462 
Product Classification System, balloon, intra-aortic and control - Product Code DSP
ProductArrow Intra-Aortic Balloon Catheter Kit Fiberoptix (IAB), 8 Fr 40 cc Model: IAB-05840-LWS
Code Information Lot Number: KF1111796 Exp. Date: 11/30/2013
Recalling Firm/
Manufacturer
Arrow International Inc
2400 Bernville Rd
Reading PA 19605-9607
For Additional Information Contact
610-378-0131
Manufacturer Reason
for Recall
Potential for a leak between the catheter and the bifurcate which would allow helium to escape to the atmosphere.
FDA Determined
Cause 2
Process control
ActionArrow International Inc notified accounts by letter dated 11/8/13 describing the problem and requested users to immediately discontinue use and return product. A Recall Acknowledgement form was to be completed and returned.
Quantity in Commerce166 units
DistributionDistribution US nationwide (including AZ, NJ, ME, TX, WA), and Germany.
Total Product Life CycleTPLC 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) Database510(K)s with Product Code = DSP
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