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U.S. Department of Health and Human Services

Class 2 Device Recall Baxter CAPD Solution Transfer Set for use with UVFlash

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 Class 2 Device Recall Baxter CAPD Solution Transfer Set for use with UVFlashsee related information
Date Initiated by FirmNovember 05, 2004
Date PostedDecember 09, 2004
Recall Status1 Terminated 3 on May 16, 2006
Recall NumberZ-0301-05
Recall Event ID 30495
510(K)NumberK883239 
Product Classification Set, Administration, For Peritoneal Dialysis, Disposable - Product Code KDJ
ProductBaxter CAPD Solution Transfer Set for use with UV-Flash Germicidal Exchange Device, 1.2 m (48''); a sterile set consisting of a bag connector (spike connector), on-off clamp assembly, tubing and double sealing male Luer lock connector; Baxter Healthcare Corporation, Renal Division, McGaw Park, IL 60085; product code R5C4325
Code Information Product code R5C4325, lot H03L12057, expiration date 12/31/08
FEI Number 3000210122
Recalling Firm/
Manufacturer
Baxter Healthcare Renal Div
1620 Waukegan Rd Bldg R
Mc Gaw Park IL 60085-6730
For Additional Information ContactCenter for One Baxter
800-422-9837
Manufacturer Reason
for Recall
Disconnection of the tubing at the clamp level of the UV Flash Transfer Set.
FDA Determined
Cause 2
Other
ActionRecall by letter dated 11/05/04. The customers were instructed to stop using this lot of product, return any stocks of the lot back to Baxter, and that replacement of the patient''s set be completed at the dialysis center.
Quantity in Commerce1,152 sets
DistributionThe entire lot was distributed overseas to Belgium, Sweden, Norway, the United Kingdom, Germany and France.
Total Product Life CycleTPLC 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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database510(K)s with Product Code = KDJ
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