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U.S. Department of Health and Human Services

Class 2 Device Recall

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  Class 2 Device Recall see related information
Date Initiated by Firm August 08, 2003
Date Posted August 29, 2003
Recall Status1 Terminated 3 on March 11, 2004
Recall Number Z-1192-03
Recall Event ID 27041
510(K)Number K925442  
Product Classification unknown device name - Product Code 74DWF
Product Sarns brand Retrograde Cardioplegia Cannula, 13 Fr, steerable stylet, ribbed balloon, manual-inflate. Catalog # 5578
Code Information Lot 1197400
Recalling Firm/
Manufacturer
Terumo Cardiovascular Systems Corp
6200 Jackson Rd.
Ann Arbor MI 48103
For Additional Information Contact
800-521-2818
Manufacturer Reason
for Recall
Product is labeled as sterile, but inadequate package seal results in lack of assurance of sterility.
FDA Determined
Cause 2
Other
Action Urgent device recall letters were sent to customers on August 8, 2003. Distributors were advised to notify their customers of this recall. Product is to be returned to Terumo.
Distribution United States, Canada, Chile, China, Germany and Japan.

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 = 74DWF and Original Applicant = 3M HEALTH CARE, SARNS
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