| | Class 2 Device Recall Medtronic DLP |  |
| Date Initiated by Firm | October 03, 2024 |
| Date Posted | November 04, 2024 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-0289-2025 |
| Recall Event ID |
95507 |
| 510(K)Number | K790565 |
| Product Classification |
Catheter, cannula and tubing, vascular, cardiopulmonary bypass - Product Code DWF
|
| Product | Medtronic 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 Contact | Medtronic 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 |
| Action | Medtronic 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 Commerce | 420 units |
| Distribution | US: NY, OH, IL, NJ, MI, TN, WI, Australia, and Singapore
|
| 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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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| 510(K) Database | 510(K)s with Product Code = DWF
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