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U.S. Department of Health and Human Services

Class 2 Device Recall Medtronic Intersept

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 Class 2 Device Recall Medtronic Interseptsee related information
Date Initiated by FirmApril 18, 2007
Date PostedJuly 26, 2007
Recall Status1 Terminated 3 on November 01, 2007
Recall NumberZ-1110-2007
Recall Event ID 37273
510(K)NumberK926226 
Product Classification Cardiotomy Reservoir - Product Code DTZ
ProductMedtronic Intersept Filtered Cardiotomy Reservoir, Model 1351, Non-pyrogenic, Sterile, Manufacturer: Medtronic, Inc., Minneapolis, MN
Code Information Lot 7192800
Recalling Firm/
Manufacturer
Medtronic Perfusion Systems
7611 Northland Dr N
Brooklyn Park MN 55428-1088
Manufacturer Reason
for Recall
Pyrogen Levels detected above specification: The product contains a pyrogen level above Medtronic''s internal specifications while the product is labeled as nonpyrogenic.
FDA Determined
Cause 2
Other
ActionThe consignees were notified by personal contact and requested to stop using the devices in question. A customer letter (April 24, 2007) will be sent by e-mail which explains the situation and requests that the impacted product be returned to Medtronic for disposal. The customer will be requested to complete a Recall Certificate acknowledging the receipt of this information.
Quantity in Commerce11 units
DistributionNationwide: Distributed to states of CO and PA
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 = DTZ
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