| Date Initiated by Firm | December 12, 2024 |
| Date Posted | January 17, 2025 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-0986-2025 |
| Recall Event ID |
96015 |
| 510(K)Number | K840002 |
| Product Classification |
Catheter, cannula and tubing, vascular, cardiopulmonary bypass - Product Code DWF
|
| Product | Select Series Angled Tip Arterial Cannula, Model Number 72422 (22 Fr) |
| Code Information |
Model 72422 UDI-DI: 20643169485970, Lot Numbers: 2023071075, 202309C075
|
Recalling Firm/ Manufacturer |
Medtronic Perfusion Systems 7611 Northland Dr N Brooklyn Park MN 55428-1088
|
| For Additional Information Contact | Medtronic Customer Service 800-854-3570 |
Manufacturer Reason for Recall | Incorrect labeling for seven manufactured lots of certain models of Arterial Cannulae. |
FDA Determined Cause 2 | Packaging |
| Action | An URGENT: MEDICAL DEVICE RECALL notification letter dated 12/12/24 was sent to customers.
Patient Recommendations:
Patients previously supported with an impacted device face no additional risk from the issue described in this communication and should continue to be monitored per your practice s normal follow-up procedures.
Customer Actions:
Medtronic requests that you take the following actions:
" Review your inventory for listed product.
" Immediately identify and quarantine all unused, listed product in your inventory.
" Return unused, listed product in your inventory to Medtronic by contacting Customer Service at 1-800-854-3570, Option 1 then Option 4, and referencing this communication to initiate a return and credit of unused product. Your Medtronic sales representative can assist you in the return of affected product as necessary.
" Complete the enclosed Customer Confirmation Form and email to RS.CFQFCA@medtronic.com.
This form must be returned even if you do not have any affected product in your possession.
" Please share this notification with others in your organization as appropriate. If product listed above has been forwarded to another facility, please notify the facility of this .
" Please maintain a copy of this communication in your records.
If you have any questions regarding this communication, please contact your Medtronic Field Representative. |
| Quantity in Commerce | 440 units |
| Distribution | Worldwide - US Nationwide distribution. |
| 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 = DWF
|