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U.S. Department of Health and Human Services

Class 2 Device Recall Medtronic DLP

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 Class 2 Device Recall Medtronic DLPsee related information
Date Initiated by FirmOctober 03, 2024
Date PostedNovember 04, 2024
Recall Status1 Open3, Classified
Recall NumberZ-0289-2025
Recall Event ID 95507
510(K)NumberK790565 
Product Classification Catheter, cannula and tubing, vascular, cardiopulmonary bypass - Product Code DWF
ProductMedtronic DLP Aortic Root Cannula with Flow-Guard, REF 11012; for use in cardiopulmonary bypass surgery
Code Information UDI/DI 20613994495451, Lot Numbers: 2023050066, 202307C101, 202401C304
FEI Number 1000116158
Recalling Firm/
Manufacturer
Medtronic Perfusion Systems
7611 Northland Dr N
Brooklyn Park MN 55428-1088
For Additional Information ContactMedtronic Customer Service
800-854-3570
Manufacturer Reason
for Recall
There is the potential for a potential sterility breach for three lots of the DLP Aortic Root Cannula due to a misaligned seal
FDA Determined
Cause 2
Process control
ActionMedtronic Cardiac Surgery issued an URGENT: MEDICAL DEVICE RECALL to its consignees on 10/03/2024 via USPS first class mail. The notice explained the problem with the device, potential risk, and requested the affected product be quarantined pending return. The notice is to be shared with all individuals with each facility as appropriate, and the notice distributed to all facilities to which the affected devices was shipped. Contact the local Medtronic Field Representative for questions.
Quantity in Commerce420 units
DistributionUS: NY, OH, IL, NJ, MI, TN, WI, Australia, and Singapore
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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
510(K) Database510(K)s with Product Code = DWF
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