| Class 1 Device Recall Bard Dual Lumen Embolectomy Catheter | |
Date Initiated by Firm | October 24, 2019 |
Date Posted | May 07, 2020 |
Recall Status1 |
Terminated 3 on June 01, 2023 |
Recall Number | Z-1847-2020 |
Recall Event ID |
85057 |
510(K)Number | K970762 |
Product Classification |
Catheter, embolectomy - Product Code DXE
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Product | Bard Embolectomy Catheter & 1 ml SYRINGE, REF numbers/UDI:
CE0340DR/(01)H699CE0340DR10R;
CE0380DR/(01)H699CE0380DR10V;
CE0440DR/(01)H699CE0440DR10S;
CE0480DR/(01)H699CE0480DR10W;
CE0540DR/(01)H699CE0540DR10T;
CE0580DR/(01)H699CE0580DR10X;
CE0680DR/(01)H699CE0680DR10Y |
Code Information |
Model CE0340DR, BARD CATHETER, lot numbers 1276248, 1283930, 1284935, 1286527, 1295731, 1317372, 1326198 Model CE0380DR, BARD CATHETER, lot numbers 1253338, 1260036, 1263505, 1268151, 1276218, 1283938, 1289018, 1299712, 1301797, 1308727, 1312145, 1314562, 1324334, 1335171 Model CE0440DR, BARD CATHETER, lot number 1286829 Model CE0480DR, BARD CATHETER, lot numbers 1263515, 1268153, 1276227, 1283943, 1284950, 1289021, 1293173, 1299711, 1301798, 1308737, 1312147, 1312986, 1318084, 1325785 Model CE0540DR, BARD CATHETER, lot numbers 1284054, 1284951, 1328361 Model CE0580DR, BARD CATHETER, lot numbers 1255414, 1263517, 1276230, 1283948, 1286831, 1289126, 1295732, 1301799, 1308735, 1317737, 1318091, 1325790, 1335172 Model CE0680DR, BARD CATHETER, lot numbers 1250869, 1260041, 1268157, 1276234, 1283950, 1284954, 1289024, 1295730, 1303736, 1308740, 1314577, 1318092, 1324358 |
Recalling Firm/ Manufacturer |
Applied Medical Resources Corp 22872 Avenida Empresa Rancho Santa Margarita CA 92688-2650
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For Additional Information Contact | Jaclene Rios-Simpson 949-713-8688 |
Manufacturer Reason for Recall | The firm has received reports of tip separation during usage of the catheters, which may expose patients to unintended dislodgement of the tip from the body of the catheter. |
FDA Determined Cause 2 | Component change control |
Action | On November 08, 2019, a "Urgent: Medical Device Recall" letter was sent via UPS to all affected customers. In addition to providing information on the recalled products, the letter asked customers to do the following:
1. Check your inventory for the recalled product.
2. Complete the Recall Notification Confirmation Form to acknowledge the recall and
indicate if your facility is returning or has already used product from the lot listed above.
3. If no product is being returned, please indicate on the Recall Notification Confirmation Form.
4. If you are a distributor, please notify any facilities to which you distributed the affected product. Please also complete Page 4 of the Recall Notification Confirmation Form.
5. Return the Recall Notification Confirmation Form to Applied Medical by email to
recall60810330@appliedmedical.com or faxing it to (949) 713-8908.
6. Return affected product and a copy of the Recall Notification Confirmation Form to Applied Medical (Product Return Instructions are on Page 5).
7. For product return questions, please contact Jaclene Rios-Simpson, Senior Manager, Customer Relations at (949) 713-8688 or jrios@appliedmedical.com.
8. For regulatory questions, please contact me, Lauren Contursi, at (949) 713-8767 or lcontursi@appliedmedical.com. |
Quantity in Commerce | 28,799 catheters in total |
Distribution | Worldwide distribution - United States: Nationwide
OUS: Australia, Belgium, Canada, Czech Republic, France, Germany, Hong Kong, Ireland, Israel, Italy, Japan, Netherlands, Poland, Saudi Arabia, South Africa, Spain, Taiwan, United Kingdom |
Total Product Life Cycle | TPLC Device Report |
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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.
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510(K) Database | 510(K)s with Product Code = DXE
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