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U.S. Department of Health and Human Services

Class 1 Device Recall Cook Medical Peripherally Inserted Central Venous Catheter Tray, 4.0 Fr/60cm, Single Lumen Silicone

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 Class 1 Recall
Cook Medical Peripherally Inserted Central Venous Catheter Tray, 4.0 Fr/60cm, Single Lumen Silicone
see related information
Date Posted February 23, 2011
Recall Status1 Terminated on June 21, 2011
Recall Number Z-1096-2011
Recall Event ID 57663
Product Classification Port & Catheter, Implanted, Subcutaneous, Intravascular - Product Code LJT
Product Peripherally Inserted Central Venous Catheter Tray Silicone, C®PICSY®401®HOPKINS®0911 00, G13169, 4.0 Fr/60cm, Sterile, Cook Incorporated, 750 Daniels Way, Bloomington, IN 47404 , USA
Code Information Part Number: C¿PICSY¿401¿HOPKINS¿0911 00; Global Part Number 13169; Lot: F2349680.
Recalling Firm/
Manufacturer
Cook, Inc.
750 Daniels Way
Bloomington, Indiana 47404-9120
For Additional Information Contact Rita A. Harden
812-339-2235
Manufacturer Reason
for Recall
Cook, Inc. is recalling Single, Double, Triple, and Five-Lumen Central Venous Catheter Trays AND Single and Double Lumen PICC Peripherally Inserted Central Venous Catheter Trays. These kits and trays contain 0.9% Sodium Chloride Injection USP 5 mL fill in 6 mL flush syringes that have been recalled by Excelsior Medical. During a routine test for syringe sterility, a possible integrity failure wa
FDA Determined
Cause 2
COMPONENT CONTROLS (GMP - GOOD MANUFACTURING PRACTICE): Nonconforming Material/Component
Action Cook, Inc. sent URGENT DEVICE RECALLS letters to its customers dated 10/4/2010. The letters asked customers to examine their inventory and notify Cook for product return. The letter included a response form.
Quantity in Commerce 51,473 total kits/trays
Distribution Worldwide distribution: USA, Chile, Colombia, Panama, Barbados, Canada, Guatemala, and Saudi Arabia.
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.
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