| | Class 2 Device Recall Adult Lumbar Puncture Tray |  |
| Date Initiated by Firm | January 20, 2022 |
| Create Date | March 16, 2022 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-0796-2022 |
| Recall Event ID |
89553 |
| Product Classification |
Lumbar puncture tray (adult & pediatric) - Product Code PWY
|
| Product | LUMBAR PUNCTURE TRAY ADULT 22G X3.5 STRL |
| Code Information |
Catalog Number: 4306C
Lot Numbers/UDI (GTIN, DI + PI):
0001410709 (01)10885403057069(17)220331(10)0001410709
0001411249 (01)10885403057069(17)220331(10)0001411249
0001412995 (01)10885403057069(17)220331(10)0001412995
0001414260 (01)10885403057069(17)220331(10)0001414260
0001414360 (01)10885403057069(17)220430(10)0001414360
0001415852 (01)10885403057069(17)220331(10)0001415852
0001417193 (01)10885403057069(17)220430(10)0001417193
0001415027 (01)10885403057069(17)220430(10)0001415027
0001419336 (01)10885403057069(17)220430(10)0001419336
0001422223 (01)10885403057069(17)220630(10)0001422223
0001425520 (01)10885403057069(17)220630(10)0001425520
0001426674 (01)10885403057069(17)220630(10)0001426674
0001428621 (01)10885403057069(17)220630(10)0001428621
0001429518 (01)10885403057069(17)220630(10)0001429518
0001430118 (01)10885403057069(17)220630(10)0001430118
0001433265 (01)10885403057069(17)220831(10)0001433265
0001433844 (01)10885403057069(17)220930(10)0001433844
0001434817 (01)10885403057069(17)220930(10)0001434817
0001438147 (01)10885403057069(17)221031(10)0001438147
|
| FEI Number |
2020394
|
Recalling Firm/ Manufacturer |
Bard Peripheral Vascular Inc 1625 W 3rd St Bldg 1 Tempe AZ 85281-2438
|
| For Additional Information Contact | North American Regional Complaint Center 844-823-5433 |
Manufacturer Reason for Recall | Due to lumbar puncture tray manometer failure mode of leaking and mating issues. |
FDA Determined Cause 2 | Process control |
| Action | Between 01/28 and 02/01/2022, the firm sent an "URGENT MEDICAL DEVICE CORRECTION" Letter via email and FedEx 2-day mailings to customers informing them that between 07/02 to 12/15/2021 the firm received 59 customer complaints for lumbar puncture tray manometers with reported failure modes of leaking and mating issues.
Customers are asked to take the following actions:
1. Check all inventory locations within their institution for the product listed in Table A and immediately destroy all affected product remaining in their possession. The product should have the sterile barrier broken and destroyed per their local facility s destruction process.
2. Share this notification with all users within their facilities to ensure they are also aware of this Urgent Medical Device Correction.
3. If Customers purchased this product from a distributor, contact their distributor for further instructions and credit resolution.
4. Complete and return the attached Customer Response Form to the Recalling Firm contact noted on the form confirming acknowledgement of the correction notification, whether or not they have any affected product, so that the Recalling Firm may acknowledge their receipt of this notification and process their credit.
5. Indicate on the response form the quantity of affected product identified at their facility and confirm that this inventory was destroyed.
6. Contact their Recalling Firm's representative to assist in this process or they may also contact the listed in the notification for further assistance.
For further assistance contact:
North American Regional Complaint Center -
1-844-8BD- LIFE (1-844-823-5433), Say Recall when prompted
M-F 8am - 5pm CT |
| Quantity in Commerce | 29,870 devices |
| Distribution | U.S. Nationwide Distribution: AK, AL, AR, AZ, CA, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Puerto Rico, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, and WY.
O.U.S. (foreign) including states: Costa Rica and Hong Kong. |
| 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.
|
|
|
|