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U.S. Department of Health and Human Services

Class 2 Device Recall Medtronic DPL

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  Class 2 Device Recall Medtronic DPL see related information
Date Initiated by Firm February 19, 2013
Date Posted March 05, 2013
Recall Status1 Terminated 3 on November 21, 2013
Recall Number Z-0908-2013
Recall Event ID 64417
510(K)Number K120988  K842375  
Product Classification venous cannula - Product Code DWF
Product Medtronic DPL Single Stage Venous Cannula with Metal Tip, used in cardiopulmonary bypass procedures.

Model numbers: 67312; 67314; CB67314; 67316; 67318; CB67318; 67320; 69312; 69314; 69316; 69318; 69320; 69322; 69324; 69328; 69331.
Code Information Model Catalog# Lot 67312 6731210NO 2012090293 67312 6731210NO 2012090294 67312 6731210NO 2012090337 67312 6731210NO 2012100039 67312 6731210NO 2012100086 67312 6731210NO 2012100087 67312 6731210NO 2012100161 67312 6731210NO 2012110326 67312 6731210NO 2012110767 67312 6731210NO 2012110899 67312 6731210NO 2012111721 67314 6731410NO 2012090416 67314 6731410NO 2012090435 67314 6731410NO 2012090571 67314 6731410NO 2012090572 67314 6731410NO 2012100040 67314 6731410NO 2012100041 67314 6731410NO 2012100107 67314 6731410NO 2012101346 67314 6731410NO 2012110007 67314 6731410NO 2012110008 67314 6731410NO 2012110327 67314 6731410NO 2012111419 67314 6731410NO 2012111420 67314 6731410NO 2012120019 67316 6731610NO 2012090239 67316 6731610NO 2012090389 67316 6731610NO 2012090854 67316 6731610NO 2012091024 67316 6731610NO 2012110030 67316 6731610NO 2012110144 67316 6731610NO 2012110394 67316 6731610NO 2012110395 67316 6731610NO 2012110396 67318 67318 2012110850 67318 67318 2012110851 67318 67318 2012111013 67318 67318 2012111789 67318 67318 2012120328 67318 67318 2012120330 67318 67318 2013010932 67318 67318 2013010933 67318 67318 2013011226 67320 67320 2012121379 67320 67320 2012121629 67320 67320 2013010002 67320 67320 2013010105 69312 6931210NO 2012090236 69312 6931210NO 2012110010 69312 69312INK 2012090296 69312 69312INK 2012100905 69312 69312INK 2012110251 69312 69312INK 2012110252 69314 6931410NO 2012090855 69314 6931410NO 2012091222 69316 6931610NO 2012090240 69318 69318 2012111225 69318 69318 2013010966 69320 69320 2012121408 69320 69320 2013010003 69322 69322 2012111723 69322 69322 2012120118 69322 69322 2012120513 69322 69322 2013010812 69322 69322 2013010935 69324 69324 2012121060 69324 69324 2012121061 69324 69324 2012121062 69324 69324 2012121148 69324 69324 2012121149 69324 69324 2012121362 69328 69328 2012110184 69328 69328 2012120660 69328 69328 2012120661 69328 69328 2012120992 69328 69328 2012121004 69328 69328 2012121005 69328 69328 2012121006 69328 69328 2012121150 69328 69328 2012121192 69328 69328 2012121193 69328 69328 2012121364 69328 69328 201301C189 69331 69331 2012121063 69331 69331 2012121064 69331 69331 2012121151 69331 69331 2012121382 69331 69331 2013010224 69331 69331 2013010437 69331 69331 2013010438 69331 69331 2013010510 69331 69331 2013010511 CB67314 CB67314 206409412 CB67318 CB67318 206513557 CB67318 CB67318 206642303 
Recalling Firm/
Manufacturer		 Medtronic Inc. Cardiac Rhythm Disease Management
8200 Coral Sea St NE
Saint Paul MN 55112-4391
For Additional Information Contact
763-526-6000
Manufacturer Reason
for Recall		 Potential for uncharacteristically rough metal edges to occur along the inner diameter of the metal tip side ports of the cannula.
FDA Determined
Cause 2		 Nonconforming Material/Component
Action Consignees were sent a Medtronic "Urgent Medical Device Recall" letter dated February 19, 2013. The letter described the problem and the product involved in the recall. Advised consignees to quarantine affected product, and return the product to Medtronic. Requested consignees the complete and return the attached Customer confirmation certificate. If product has been forwarded to another facility, requested consignees to notify the facility of the issue.
Quantity in Commerce 13,691 (6711 USA; 6980 OUS)
Distribution Worldwide distribution, including USA nationwide, Albania, Algeria, Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, Colombia, Croatia, Cyprus, Czech Republic, Denmark, Ecuador, Egypt, Finland, France, Germany, Greece, Guatemala, Hong Kong, Hungary, India, Indonesia, Ireland, Israel, Italy, Jamaica, Japan, Kazakhstan, Korea, Libya, Lithuania, Macedonia, Malaysia, Mexico, Morocco, Netherlands, New Zealand, Norway, Peru, Philippines, Poland, Portugal, Qatar, Romania, Russian Federation, Saudi Arabia, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, United Kingdom, and Viet Nam.
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 = DWF and Original Applicant = DLP, INC.
510(K)s with Product Code = DWF and Original Applicant = MEDTRONIC INC.
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