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U.S. Department of Health and Human Services

Class 2 Device Recall Baxter Interlink System YType Minivolume Extension Set

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 Class 2 Device Recall Baxter Interlink System YType Minivolume Extension Setsee related information
Date Initiated by FirmJuly 06, 2005
Date PostedAugust 06, 2005
Recall Status1 Terminated 3 on January 31, 2007
Recall NumberZ-1103-05
Recall Event ID 32588
510(K)NumberK791496 
Product Classification Set, Administration, Intravascular - Product Code FPA
ProductBaxter Interlink System Y-Type Minivolume Extension Set, product code 1C8689; 6'', 0.33 mL Vol., with male Luer Lock adapter; Baxter Healthcare Corporation, Deerfield, IL 60015 U.S.A.
Code Information product code 1C8689, lot GD814186
Recalling Firm/
Manufacturer
Baxter Healthcare Corp.
Rt. 120 & Wilson Rd
Round Lake IL 60073
For Additional Information ContactCenter for One Baxter
800-422-9837
Manufacturer Reason
for Recall
Leaks and disconnection between the bifurcated Y-site and the set tubing may occur and result in underdelivery of medication, blood loss, and a breach of the sterile fluid pathway.
FDA Determined
Cause 2
Other
ActionBaxter sent Urgent Product Recall letters dated 7/6/05 to their customers, to the attention of the Director of Materials Management, via first class mail on the same date. The accounts were informed of the complaints of leaks and disconnection between the bifurcated Y-site and the set tubing, resulting in the possible under delivery of medication, blood loss and a breach of the sterile fluid pathway. The accounts were instructed to examine their inventory for the affected lots of product, remove it from inventory and return it to Baxter for credit. Any questions were directed to the Center for One Baxter at 1-800-422-9837.
Quantity in Commerce840 sets
DistributionArizona, Georgia, Illinois, Michigan, Ohio, Pennsylvania, South Carolina and Texas.
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 = FPA
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