| Class 2 Device Recall Distal Access Catheter | |
Date Initiated by Firm | September 26, 2013 |
Date Posted | December 12, 2014 |
Recall Status1 |
Terminated 3 on December 08, 2014 |
Recall Number | Z-0525-2015 |
Recall Event ID |
69764 |
510(K)Number | K110483 |
Product Classification |
Catheter, percutaneous - Product Code DQY
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Product | Distal Access Catheter:
Model Numbers: 90121, 90130, 90131, 90160.
The Distal Access Catheter is intended for use in facilitating the insertion and guidance of an occlusion catheter, infusion catheter or other appropriate microcatheter into a selected blood vessel in the peripheral, coronary and neuro vascular systems. |
Code Information |
Lot Number 36007: 09-2014 Lot Number 35767: 05-2014 Lot Number 35980: 08-2014 Lot Number 35951: 08-2014 Lot Number 36050: 09-2014 Lot Number 36017: 09-2014 Lot Number 36029: 09-2014 Lot Number 35583: 02-2014 |
Recalling Firm/ Manufacturer |
Concentric Medical Inc 301 E Evelyn Ave Mountain View CA 94041-1530
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For Additional Information Contact | Peter Henrich 650-810-1716 |
Manufacturer Reason for Recall | Distal Access Catheters were shipped to US customers with the Directions for Use that included instructions for aspiration. This version of the DFU is only approved outside of the US. |
FDA Determined Cause 2 | Labeling mix-ups |
Action | The firm, Concentric Medical, sent an "URGENT MEDICAL DEVICE RECALL NOTIFICATION" letter dated September 26, 2013 consignees/customers at all affected sites by registered mail. The letter described the product, problem and actions to be taken. The consignees/customers were instructed to immediately locate the subject devices and quarantine them; distribute notice to all affected departments in your facility; inform Concentric Medical (Stryker Neuovascular) if any of the subject devices have been distributed to other organizations; complete, sign and return the attached Customer Response Form via Fax to: 1-866-876-4355 or email a copy to: NeuroComplaints@stryker.com, complete form even if you do not have any subject devices to return, and keep a copy of the completed, signed Customer Response Form for your records.
Should you have any queries concerning this matter, please do not hesitate to contact the QA Manager at 650-810-1716. |
Quantity in Commerce | 87 units |
Distribution | US Distribution to states of: TX, TN, PA, MI, VA, CA, NC, MS, FL, IL, MA, AZ, OK, NY, KY, WA, and AL. |
Total Product Life Cycle | TPLC Device Report |
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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.
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510(K) Database | 510(K)s with Product Code = DQY
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