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U.S. Department of Health and Human Services

Class 2 Device Recall Gastrointestinal tube

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 Class 2 Device Recall Gastrointestinal tubesee related information
Date Initiated by FirmApril 06, 2006
Date PostedMay 03, 2006
Recall Status1 Terminated 3 on August 12, 2009
Recall NumberZ-0837-06
Recall Event ID 35140
510(K)NumberK910492 
Product Classification Tube, Gastro-Enterostomy - Product Code KGC
Product20F Tri-Funnel Replacement Gastrostomy Tube
Code Information Product Code 000720. Lot number: NGPL2270.
Recalling Firm/
Manufacturer
Bard Access Systems, Inc
5425 Amelia Earhart Dr
Salt Lake City UT 84116-3713
For Additional Information Contact
801-595-0700
Manufacturer Reason
for Recall
Packaging for some gastrostomy tubes was labeled with incorrect balloon inflation data. An underinflated balloon may cause misplacement, slippage or premature removal of the tube. If an underinflated balloon allows the tube to be placed, or slip into, the stomal tract and not the stomach, there is a risk of infusion of fluids into the peritoneum. This carries the risk of infection.
FDA Determined
Cause 2
Error in labeling
ActionConsignees were notified by letter on 04/06/2006.
Quantity in Commerce110 units
DistributionNationwide, including 4 VA facilities. No military consignees. Foreign distribution to Canada, Australia
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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database510(K)s with Product Code = KGC
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