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U.S. Department of Health and Human Services

Class 2 Device Recall Inflation syringe.

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  Class 2 Device Recall Inflation syringe. see related information
Date Initiated by Firm October 21, 2005
Date Posted December 17, 2005
Recall Status1 Terminated 3 on May 25, 2006
Recall Number Z-0290-06
Recall Event ID 33954
510(K)Number K040138  
Product Classification Syringe, Balloon Inflation - Product Code MAV
Product Viceroy Inflation Syringe, 60mL, Sterile, Rx only.
Code Information Catalog Number: V6010, Lot Numbers: F395368
Recalling Firm/
Manufacturer
Merit Medical Systems, Inc
1600 West Merit Pkwy
South Jordan UT 84095-2416
For Additional Information Contact
801-208-4284
Manufacturer Reason
for Recall
Inflation device may not hold vacuum during angioplasty procedure.
FDA Determined
Cause 2
Other
Action All consignees were notified by fax and letter on 10/21/2005.
Quantity in Commerce 243 units
Distribution FL, UT. Foreign distribution to Austria, Cyprus, Czechoslovakia, Denmark, Egypt, Finland, France, Germany, Greece, Hungary, Iceland, India, Israel, Italy, Japan, Jordan, Kuwait, Netherlands, Norway, Poland, Saudi Arabia, Slovenia, Slovakia, South Africa, Spain, Sweden, Switzerland, Turkey, UAE. No government or military 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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = MAV and Original Applicant = MERIT MEDICAL SYSTEMS, INC.
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