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U.S. Department of Health and Human Services

Class 1 Device Recall Trevo XP ProVue Retriever

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  Class 1 Device Recall Trevo XP ProVue Retriever see related information
Date Initiated by Firm September 21, 2020
Create Date October 21, 2020
Recall Status1 Open3, Classified
Recall Number Z-0114-2021
Recall Event ID 86583
510(K)Number K190779  
Product Classification Neurovascular Mechanical Thrombectomy Device for Acute Ischemic Stroke Treatment - Product Code POL
Product Trevo XP ProVue Retriever, REF (Size): 90182 (4MM x 20MM); 90185 (4MM x 30MM); 90186 (6MM x 25MM). Procedure Pack REF: 80052, 93067, 93068, M0032PK42010001, M0033PK42022001, M0033PK43022001, M0033PK62523001, M0032PK42010002, M0032PK43010002, M0032PK62510002, M0033PK42022002, M0033PK43022002, M0033PK62523002
Code Information REF/Lots: 90182/ 0000030024, 0000030025, 0000030026, 0000030251, 0000030252, 0000030253, 0000030408, 0000030409, 0000030410, 0000030921, 0000030922, 0000030931, 0000031336, 0000031585, 0000031761, 0000031762, 0000031763, 0000032042, 0000032043, 0000032309, 0000032310, 0000032400, 0000032401, 0000032402, 0000032403, 30024, 30251, 30922, 31336, 31761, 31762; 90185/ 0000030030, 0000030031, 0000030260, 0000030261, 0000030407, 0000030415, 0000030416, 0000030924, 0000030925, 0000030926, 0000031338, 0000031588, 0000031764, 0000031765, 0000032040, 0000032041, 0000032313; 90186/ 0000030032, 0000030262, 0000030406, 0000030417, 0000030418, 0000030419, 0000030927, 0000030928, 0000030929, 0000030930, 0000031339, 0000031340, 0000031341, 0000031587, 0000032046, 0000032047; M0032PK42010002/ 38166585, 38191261, 38191264, 38449970, 38636576; M0032PK43010002/ 36967533, 36967572, 36967573, 36967574, 36967575, 36967576, 36967577, 36967578, 36967579, 36967580;  93067/ 60200184892, 60200184893, 60200185332, 60200186591, 60200186592, 60200187741, 60200187742, 36836835, 36836838, 36891540, 36912340, 36912354, 36967536, 36984339, 36984362, 36984363, 36984364, 36984365, 36984366, 37003135, 37003141, 37003144, 37049334, 37049335, 37049336, 37049345, 37056132, 37077332, 37089641, 37108537, 37108540, 37125434, 37125468, 37158939, 37158940, 37174352, 37195439, 37195440, 37195441, 37195442, 37195444, 37195448, 37228358, 37228360, 37329459, 37495860, 37510394, 36448781, 36461581, 36461583, 36498382, 36498384, 36498680, 36498681, 36498682, 36529509, 36529545, 36529546, 36529547, 36529548, 36529549, 36529550, 36529551, 36529552, 36529553, 36529554, 36529555, 36529556, 36547189, 36547195, 36547197, 36547215, 36632788, 36632794, 36652186, 36691283, 36714887, 36735085, 36735086, 36735087, 36735088, 36735089, 36753486, 36753488, 36753497, 36799849, 36799850, 36799851, 36799859, 36799860, 36836842, 36836843, 36857851, 36857852, 36857853, 36857854, 36857855, 36857856, 36875438, 36875442, 36875443, 36875444, 36875453, 36912333, 36912353, 36930560, 36930561, 36930565, 36930569, 36930579, 36947233, 36947255, 36947256, 36947257, 36947258, 36967551, 36984352, 36984354, 36984355, 37003140, 37011643, 37032438, 37049357, 37108533, 37108544, 37108546, 37108547, 37108549, 37108550, 37108551, 37108565, 37108566, 37108567, 37108568, 37108569, 37108570, 37108571, 37108572, 37108573, 37125435, 37125448, 37125449, 37125456, 37125457, 37125458, 37141942, 37158947;  93068/ 60200189251, 60200189252, 60200189253, 60200190221, 60200190222, 60200190223, 60200190224, 60200191041, 60200191042, 60200191043, 60200191044, 37032432, 37032434, 37032435, 37077333, 37108538, 37141980, 37195438, 37212242, 37228359, 37263852, 37281945, 37313953, 37345011, 37345012, 37345013, 37384855, 37424965, 37479670, 37479734, 37510391, 37510392, 37539290, 37539291, 37539301, 37610409, 37659707, 37676912, 37693604, 37693635, 37713603, 37713604, 37754601, 37795612, 37814519, 37814520, 37814521, 37814522, 37849537, 37849538, 37849539, 37863831, 37969756, 37969757, 37969758, 37984459, 37984460, 37984468, 38013747, 38013948, 38013951, 38013952, 38013962, 38028310, 38045557, 38045558, 38045566, 38045567, 38045570, 37049353, 37049354, 37065739, 37077336, 37108545, 37108548, 37125460, 37125461, 37125467, 37158943, 37195443, 37212245, 37228338, 37228344, 37228345, 37228346, 37228357, 37228361, 37244247, 37244252, 37244253, 37263862, 37263875, 37297752, 37313955, 37329458, 37329460, 37329464, 37329465, 37344990, 37344996, 37364784, 37364785, 37364786, 37364787, 37384864, 37402863, 37402864, 37479669, 37479711, 37479714, 37479715, 37479752, 37480074, 37480075, 37480076, 37480078, 37480081, 37480084, 37480086, 37480089, 37480090, 37480091, 37480092, 37480093, 37480094, 37480095, 37495864, 37495867, 37495868, 37543891, 37543895, 37575302, 37575304, 37575315, 37575317, 37610402, 37628108, 37628109, 37644715, 37676901, 37676904, 37676905, 37676909, 37693620, 37693621, 37693622, 37693623, 37693624, 37693625, 37693630, 37693634, 37713620, 37733704, 37733712, 37733716, 37754602, 37754607, 37754608, 37754615, 37754616, 37754617, 37754618, 37754621, 37777326, 37777327, 37777335, 37795619, 37795620, 37795621, 37795622, 37814544, 37814545, 37833331, 37833332, 37849512, 37849513, 37849517, 37849518, 37849520, 37849521, 37849525, 37849526, 37849527, 37849543, 37849552, 37850811, 37850812, 37863830, 37863838, 37863842, 37863850, 37882547, 37882548, 37882554, 37919235, 37923331, 37954149, 37969749, 37969775, 37969776, 37969777, 37969778, 37984471, 38000241;  M0032PK62510002/ 36967569, 37011639, 37882543, 37938251; M0033PK42022002/ 38146882, 38146883, 38166603, 38166604, 38174955, 38174975, 38185258, 38185259, 38185260, 38185263, 38185267, 38195456, 38281762, 38391766, 38391767, 38391769, 38391770, 38391771, 38391772, 38392064, 38392960, 38395862, 38476062, 38476065, 38476066, 38476067, 38516767, 38599024, 38166612, 38229563, 38261557, 38311966, 38392961, 38395871, 38408188, 38453760, 38453765, 38492462, 38572772, 38586764, 38636571, 38649867; M0033PK43022002/ 36431078, 36431081, 36431082, 36448779, 36448780, 36498687, 36498688, 36498689, 36498690, 36498691, 36514194, 36529540, 36529541, 36547182, 36547187, 36547204, 36614192, 36632790, 36632797, 36672623, 36714883, 36714884, 36714886, 36735105, 36735106, 36753494, 36753495, 36753496, 36769792, 36769793, 36787186, 36787189, 36799835, 36799840, 36836844, 36836845, 36875448, 36875449, 36875450, 36875451, 36912346, 36912351, 36912352, 36984348, 36984349, 36984350, 36984351, 36984353, 37011640, 37032440, 37049350, 37049355, 37077337, 37077339, 37125462, 37125463, 37125464, 37158944, 37158946, 37174350, 36672623, 36984337, 37017833, 37174338, 37174353, 37174355, 37228363;  M0033PK62523002/ 37032443, 37032444, 37077341, 37228342, 37228343, 37281954, 37329456, 37329457, 37364754, 37364788, 37610411, 37777339, 37882544, 37938250, 38028262, 38028271, 38028303, 38045556, 37011644, 37017836, 37174339, 37174354, 37263855, 37263856, 37263858, 37313949, 37364768, 37479672, 37479677, 37479679, 37575306, 37644701, 37676913, 37693605, 37713605, 38000243, 38057455;  M0032PK42010001/ 60200193791; M0033PK42022001/ 00193801, 00193802, 00193811, 00199272, 00199274, 60200189261; M0033PK43022001/ 60200184921, 60200184931, 60200185352, 60200186011, 60200186831, 60200191921; M0033PK62523001/ 60200191051, 60200191061;  80052/ 38134761, 38157260, 38157264, 38157268, 38157270, 38166555, 38166559, 38174961, 38185261, 38191257, 38205655, 38210562, 38221557, 38250460, 38250462, 38250463, 38290862, 38290863, 38290868, 38309361, 38311965, 38334860, 38343560, 38343561, 38363960, 38363962, 38363969, 38363970, 38371260, 38394060, 38395875, 38395880, 38408169, 38408179, 38408180, 38408185, 38408190, 38418762, 38429961, 38429971, 38439661,38453562, 38461768, 38461791, 38461792, 38476060, 38492479, 38492480, 38503762, 38503765, 38531178, 38544363, 38544364, 38557054, 38557055, 38557056, 38572773, 38572776, 38586760, 38586765, 38586767, 38586773, 38610462, 38623662, 38623663, 38623664, 38636560, 38636564, 38649866, 38660362, 38660363, 38660364, 38660365, 38660366, 38660367, 38660369, 38660370, 38671367, 38682671, 38682672, 38763862, 38131857, 38146859, 38146881, 38157255, 38157256, 38157276, 38157278, 38157279, 38166556, 38166562, 38166563, 38166564, 38166566, 38166567, 38166571, 38166572, 38166573, 38166574, 38166575, 38166576, 38166577, 38166578, 38166579, 38166580, 38166583, 38166584, 38166586, 38166587, 38166588, 38166589, 38166590, 38166591, 38166592, 38166593, 38166594, 38166595, 38166596, 38166597, 38166598, 38166599, 38166600, 38166601, 38166602, 38166605, 38166606, 38166607, 38166608, 38166609, 38166610, 38166611, 38174956, 38174966, 38174967, 38174972, 38174974, 38191271, 38195455, 38195458, 38210561, 38210565, 38210567, 38210569, 38210570, 38210572, 38210574, 38221560, 38221563, 38226159, 38226160, 38226161, 38226162, 38226163, 38226164, 38226165, 38226166, 38226167, 38226176, 38229556, 38229558, 38229576, 38239160, 38250456, 38250465, 38250470, 38250471, 38250472, 38250473, 38250474, 38250475, 38250476, 38250477, 38250478, 38250479, 38253255, 38261563, 38261564, 38261565, 38261566, 38261576, 38261577, 38271765, 38271766, 38271767, 38271768, 38271769, 38271770, 38271771, 38271772, 38271773, 38271774, 38271775, 38271776, 38271777, 38271778, 38271779, 38271780, 38271781, 38271782, 38271783, 38271784, 38271785, 38271786, 38271787, 38271788, 38271789, 38271790, 38271791, 38271792, 38271793, 38271794, 38271795, 38271796, 38271797, 38271798, 38271799, 38271800, 38271801, 38271802, 38271803, 38271804, 38271805, 38271806, 38271807, 38271808, 38271809, 38271810, 38271811, 38271812, 38281756, 38281759, 38281761, 38281766, 38311968, 38311970, 38311973, 38322364, 38322365, 38322366, 38322367, 38322368, 38322383, 38334862, 38343567, 38343568, 38343572, 38343581, 38352169, 38352171, 38363966, 38363967, 38363971, 38363972, 38363973, 38363974, 38363975, 38363976, 38363977, 38363978, 38363979, 38363980, 38377965, 38377966, 38377967, 38377968, 38377983, 38377984, 38377985, 38377986, 38395864, 38395866, 38395867, 38395886, 38408161, 38408162, 38408168, 38408183, 38408184, 38408191, 38418558, 38429960, 38429966, 38429967, 38439665, 38449963, 38449964, 38449971, 38449972, 38461767, 38461769, 38461777, 38461779, 38461780, 38461787, 38461788, 38492465, 38492467, 38492469, 38492474, 38503774, 38503775, 38516766, 38525960, 38525961, 38531162, 38531165, 38531166, 38531167, 38531168, 38531169, 38531170, 38531171, 38531172, 38531174, 38531175, 38539060, 38539061, 38544361, 38572761, 38572762, 38572763, 38572764, 38572765, 38572767, 38572770, 38572777, 38572778, 38586768, 38610460, 38610461, 38610465, 38619160, 38623660, 38623665, 38623666, 38623667, 38623668, 38623669, 38623674, 38623675, 38623676, 38623677, 38623678, 38623679, 38623680, 38623681, 38623682, 38623683, 38623684, 38623685, 38623686, 38623687, 38623688, 38636574, 38636575, 38636578, 38636579, 38636580, 38636581, 38636582, 38636585, 38649862, 38649863, 38649865, 38660361, 38660371, 38660373, 38660381, 38660382, 38671361, 38671370, 38671371, 38671372, 38671373, 38682661, 38682663, 38682664, 38682665, 38682667, 38682668, 38682670, 38682679, 38763863, 38813063, 39030961, 39030962, 39030963, 00197071, 00197072, 00199091, 00199092, 00199101, 00199102, 60200193751, 60200195801, 60200195802; 
Recalling Firm/
Manufacturer
Stryker Neurovascular
47900 Bayside Pkwy
Fremont CA 94538-6515
Manufacturer Reason
for Recall
Increase in fracture complaints of the flexible, tapered core wire, resulting in stent retriever separation from the core wire during use. The stent retriever can be left behind in the vasculature.
FDA Determined
Cause 2
Under Investigation by firm
Action On 09/21/2020, Urgent Medical Device Voluntary Recall - Removal notices were distributed to customers via courier. Risk Management/ Recall Coordinators/ Inventory Managers were asked to do the following: 1. Immediately check your internal inventory for affected devices. 2. Segregate the affected units in a secure location for return to recalling firm. 3. Circulate this Recall-Removal notice internally to all interested/affected parties. 4. Maintain awareness of this communication internally until all required actions have been completed within your facility. 5. Inform firm if any of the subject devices have been distributed to other organizations. If yes, provide contact details so that Stryker can inform the recipients appropriately. 6. Inform recalling firm of any adverse events concerning the use of the subject devices. (US Customer Service: 1-855-91-NEURO (1-855-916-3876), Email: NVCustomerCare@stryker.com) 7. Complete the attached customer response form. It may be that you no longer have any physical inventory on site. Completing this form will allow us to update our records and will also negate the need for us to send any further unnecessary communications on this matter. 8. Email the completed form to NVCustomerCare@Stryker.com 9. Product Return Information will be provided to you by your designated Territory Manager or Sales Representative
Quantity in Commerce 5365
Distribution U.S.: PA, OH, AK, NY, VA, IL, CA, NJ, AL, NV, FL, KY, AR, MA, TX, MI, NC, TN, WI, WA, AZ, OR, GA, VT, UT, DC, MO, IN, OK, NH, LA, HI, DE, SC, MS, RI, MD, SD, KS, ID, CO, CT, IA, NM, WV, MN, GU, NE. Foreign: Egypt, Finland, France, Argentina, Australia, Brazil, Canada, Columbia, India, Japan, Mexico, Poland, South Africa, South Korea, Germany, Greece, Hong Kong, Hungary, Ireland, Israel, Italy, Lithuania, Luxembourg, Netherlands, Norway, Philippines, Portugal, Romania, Saudi Arabia, Singapore, Slovakia, Slovenia, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, United Arab Emirates, United Kingdom, Vietnam
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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
510(K) Database 510(K)s with Product Code = POL and Original Applicant = Stryker
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