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U.S. Department of Health and Human Services

Class 2 Device Recall Medtronic, DLP, DLP Right Angle Single Stage Venous Cannulae

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 Class 2 Device Recall Medtronic, DLP, DLP Right Angle Single Stage Venous Cannulae see related information
Date Posted January 18, 2012
Recall Status1 Terminated on May 22, 2014
Recall Number Z-0809-2012
Recall Event ID 60720
510(K)Number K842375 
Product Classification Catheter, cannula and tubing, vascular, cardiopulmonary bypass - Product Code DWF
Product Medtronic, DLP, DLP Right Angle Single Stage Venous Cannulae.

Rx Only, Sterile EO, Nonpyrogenic. Model #'s
67512, 67514, 67516, 67518, 67520, 67522, 67524, 67526, 67528, 67530, 67532, 67534, 67636.67638, 67640, 67536,67540.

These cannulae are intended for collection of venous blood from the right side of the heart via the superior and inferior vena cava during cardiopulmonary bypass surgery up to six hours or less.
Code Information Model # / Lot #

67512 67514 67516 67518 67520
2008120772 2008120764 2009010345 2011051400 2009010363
2009020928 2008120951 2009020657 2011051756 2009011014
200902C083 2009021206 2009030252 2011051991 2009011126
2009060940 2009040678 2009080996 201109C051 200901C098
2009070724 2009050310 2009101098 2011100296 2009030778
2009120921 200906C140 2009120922 2011100296 2009040979
2010012832 200907C100 2010012834 2009081545
2010012832 2009110266 201003C172 2009102294
2010022256 2010012833 2010071569 2009120020
2010081992 2010020287 201008C158 2009121491
2010092162 201003C174 2010092166 2010012907
2011010390 2010080882 2011021006 2010031058
201101C123 2010081016 2011030122 2010051219
2011030269 2010081842 2011040908 2010081240
201103C206 2010082373 2011050610 2010082375
2011051757 2011020786 2011051212 201009C127
2011021764 2011061006 2011010165
201102C150 201106C159 2011011198
2011030477 2011070129 201102C020
201103C062 2011080426 2011040442
2011080425 2011082100 2011050734
2011100955 201108C035 2011080608
2011091007 2011081061
2011091519
2011092182









67522 67524 67526 67528 67530
2008110263 200810C234 200811C068 2008110384 200810C036
2008110458 200810C235 2008120913 2008110459 2008110260
2008121122 2008110113 2009010206 200811C167 2008111129
200812C017 2008110329 2009020253 2008120952 200811C092
2009011127 2008111022 2009020798 2008121004 2008120226
2009020658 2008120542 2009030486 2009010207 2009030253
2009040679 200812C058 2009030780 2009010346 200903C042
2009041174 2009010165 2009041176 2009010356 2009040325
2009060247 2009011128 2009060483 2009011378 2009050313
2009061467 200901C060 2009061239 200901C094 2009050314
2009070536 2009020835 200908C105 200901C110 2009061501
200907C037 2009030779 2009090936 2009020659 2009070275
2009101099 200903C062 2009091614 2009030487 2009071391
2009111480 2009040680 2009100556 2009031078 200907C045
2010011382 2009041175 2009101682 2009040681 200907C083
2010022257 2009050311 2009110267 2009040682 2009101684
201003C173 2009060248 2009110958 2009040980 200911C044
2010061881 2009060482 200911C045 2009041177 2009121493
2010071761 2009071389 200912C167 200904C121 2010010294
2010081242 200907C030 2010012909 200904C134 2010012911
201008C047 2009080492 2010022259 2009050312 201003C101
2010101289 200908C141 2010061880 2009051002 2010040457
2010120667 2009100218 2010080941 200905C029 2010051417
2011012087 2009101680 2010091859 200905C085 2010061065
201103C023 2009101680 2010101802 2009060484 2010062719
2011041066 2009101681 2010121023 2009070537 201006C078
2011051401 200910C073 201101C033 2009071390 2010091185
2011060106 2009112101 2011021007 2009080493 201010C040
2011061594 200911C075 2011030336 200908C143 2010120035
2011062399 2009120163 2011030861 2009091615 2010121022
2011071825 2009121492 2011040909 2009100219 2011010393
2011100295 200912C079 2011041293 2009101683 2011011649
2010012908 2011050126 200910C013 2011030337
2010022258 2011050732 2009110268 2011041287
2010030381 2011061007 2009110959 2011061005
2010031059 2011061595 200911C080 2011070923
2010040456 201106C129 2009120164 2011082711
2010061680 2011070150 2009120923 2011090552
2010071872 2011070326 2009120923 2011100956
2010081353 2011072144 2010012910 2011102229
2010081995 2011072505 2010022260
2010082369 201108C041 2010022261
2010091521 2011092035 2010022262
2010091522 201109C095 2010031060
2010091523 201110R042 2010032956
2010092158 201003C054
201009C179 2010050410
2010120668 2010050857
2010121825 2010070079
2011010391 2010070339
2011011003 2010071510
2011011003 2010072159
201101C122 2010072161
2011031499 2010081993
2011031891 2010082370
2011040476 2010090508
2011041475 2010091183
201104C021 2010101488
2011050125 2010101807
2011051211 201010C034
2011051903 2010120356
201105C109 2010121579
201106
Recalling Firm/
Manufacturer
Medtronic Inc. Cardiac Rhythm Disease Management
8200 Coral Sea St. N.E.
Saint Paul MN 55112
763-526-6000
For Additional Information Contact
763-526-6000
Manufacturer Reason
for Recall
Instructions for Use for the DLP Single Stage Venous Cannulae are in the process of being updated. The current precaution statement referencing ventricular assist procedures will be identified as a contraindication in the updated Instructions for Use. DO NOT USE THIS PRODUCT FOR EXTENDED TERMS SUCH AS VENTRICULAR ASSIST PROCEDURES. Medtronic has received two reports of patient deaths due to p
FDA Determined
Cause 2
Labeling design
Action Medtronic sent an "URGENT MEDICAL DEVICE INFORMATION" letter dated December 2011 to all affected customers. The letter identifies the product, problem, and the action to be taken by the customers. Contract Medtronic CardioVascular LifeLine Technical Support at 1-877-526-7890 for questions related to this issue.
Quantity in Commerce 120,438
Distribution Worldwide Distribution-USA (nationwide) including Puerto Rico and the Virgin Islands and the countries of Albania, Algeria, Argentina, Australia, Austria, Azerbaijan, Bahamas, Bangladesh, Barbados, Belarus, Belgium, Bosnia and Herzegovina, Brazil, Brunei Darussalam, Bulgaria, Cambodia, Canada, Chile, China, Colombia, Costa Rica, Croatia, Cyprus, Czech Republic, Denmark, Dominican Republic, Ecuador, Egypt, El Salvador, Estonia, Finland, France, Georgia, Germany, Greece, Guatemala, Honduras, Hong Kong, Hungary, Iceland, India, Indonesia, Ireland, Israel, Italy, Jamaica, Japan, Jordan, Kazakhstan, Kenya, Korea, Kuwait, Latvia, Lebanon, Libya, Lithuania, Luxembourg, Macau, Macedonia, Malaysia, Mauritius, Mexico, Montenegro, Morocco, Nepal, Netherlands, New Zealand, Nicaragua, Nigeria, Norway, Oman, Pakistan, Panama, Paraguay, Peru, Philippines, Poland, Portugal, Qatar, Romania, Russian Federation, Saudi Arabia, Serbia, Singapore, Slovakia, Slovenia, South Africa, Spain, Sri Lanka, Suriname, Sweden, Switzerland, Syria, Taiwan, Thailand, Trinidad and Tobago, Tunisia, Turkey, Turkmenistan, United Arab Emirates, United Kingdom, Uruguay, Venezuela, Viet Nam, and Yemen.
Total Product Life Cycle TPLC Device Report

1 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
510(K) Database 510(K)s with Product Code = DWF and Original Applicant = DLP, INC.
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