| | Class 2 Device Recall Cardioblate CryoFlex, Surgical Ablation Probe |  |
| Date Initiated by Firm | October 12, 2020 |
| Create Date | November 25, 2020 |
| Recall Status1 |
Terminated 3 on August 16, 2024 |
| Recall Number | Z-0494-2021 |
| Recall Event ID |
86666 |
| 510(K)Number | K123733 |
| Product Classification |
Surgical Device, For cutting, coagulation, and/or ablation of tissue, including cardiac tissue - Product Code OCL
|
| Product | Cardioblate CryoFlex, Surgical Ablation Probe, Model Number 60SF3, PROBE 60SF3 CRYOFLEX 10-S 26L - is a single use, disposable cryoprobe that is designed for use with the CryoFlex Surgical Ablation System. The probe has an integrated thermocouple for monitoring temperature at its ablation segment. |
| Code Information |
Model Number 60SF3, GTIN 00763000114626 Serial Numbers: 17420000, 17420001, 17420002, 17420003, 17420004, 17420005, 17420006, 17420007, 17420008, 17420009, 17420010, 17420013, 17420014, 17420015, 17420016, 17420017, 17420018, 17420019, 17420020, 17420022, 17420023, 17420024, 17420025, 17420026, 17420027, 17420028, 17420029, 18420000, 18420001, 18420002, 18420003, 18420004, 18420015, 18420016, 18420021, 18420022, 18420023, 18420024, 18420025, 18420026, 18420027, 19820016, 19820017, 19820018, 19820019, 19820020, 19820021, 19820022, 19820023, 19820024, 21020005, 22320038, 22320040, 22320041, 22320042, 22320043, 22320044 |
| FEI Number |
3008592544
|
Recalling Firm/ Manufacturer |
MEDTRONIC ATS MEDICAL, INC. 3800 Annapolis Ln N Plymouth MN 55447-5439
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| For Additional Information Contact | Medtronic Customer Service 800-854-3570 |
Manufacturer Reason for Recall | There is a potential defect in the seals of the sterile barrier pouch used to package the CryoFlex disposables devices |
FDA Determined Cause 2 | Under Investigation by firm |
| Action | In the United States (US), beginning 29-Oct-2020, a written Medical Device Correction letter will be mailed via UPS 2-day delivery to consignees who have received affected product according to Medtronic records. Consignees will be asked to complete and return a confirmation certificate, confirming they have received the notification. The letter requests the following actions:
- Identify and quarantine all unused CryoFlex Surgical Ablation devices as listed in the table below.
- Return all unused affected product in your inventory to Medtronic. Contact Medtronic Customer Service at 1-800-854-3570 to initiate a product return. Your local Medtronic Representative can assist you in the return of this product.
- < Please complete the enclosed Customer Confirmation Form and email to RS.CFQFCA@medtronic.com. >
- Please forward this notice to all those who need to be aware within your organization. |
| Quantity in Commerce | 57 units |
| Distribution | Worldwide distribution - US Nationwide distribution and the countries of Belgium, Czech Republic, Germany, Korea. |
| 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 = OCL
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