Quick Links: Skip to main page content Skip to Search Skip to Topics Menu Skip to Common Links
  • Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

Class 2 Device Recall 20/30 Priority Pack w/COPILOT

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 


New Search Back to Search Results
  Class 2 Device Recall 20/30 Priority Pack w/COPILOT see related information
Date Initiated by Firm March 11, 2022
Create Date April 13, 2022
Recall Status1 Open3, Classified
Recall Number Z-0923-2022
Recall Event ID 89760
510(K)Number K961471  
Product Classification Syringe, balloon inflation - Product Code MAV
Product 20/30 Priority Pack w/COPILOT - REF 1003327 WPL2122272-01 (2019-03-01)
Code Information Part Numbers: 1003327 Device Identifier-GTIN: 08717648013973 Lot Numbers: 60308571 60315919 60325098 60308572 60316407 60325099 60308573 60317004 60325100 60308574 60317279 60325101 60308575 60317280 60325103 60309671 60317533 60326298 60309672 60317540 60326299 60309673 60317541 60326300 60309674 60317947 60326301 60309675 60317948 60326425 60309676 60318668 60326859 60309677 60318669 60326860 60309681 60318670 60326861 60309682 60319819 60326862 60309683 60320067 60326863 60309684 60320068 60328011 60309685 60320069 60328023 60309686 60320070 60328355 60309687 60320072 60328356 60311341 60320073 60329330 60311342 60320074 60329331 60311343 60320075 60329332 60311344 60320076 60329333 60311345 60320914 60329967 60312167 60322147 60329968 60312168 60322182 60329969 60312169 60322183 60330058 60312170 60322184 60331041 60312171 60322185 60331043 60312172 60323316 60331358 60312173 60323317 60331537 60312174 60323318 60331538 60312175 60323319 60331731 60312176 60323320 60331733 60312177 60323321 60331943 60312178 60323322 60334120 60313415 60323323 60334121 60313416 60323324 60334122 60313417 60323325 60334123 60313418 60323434 60335132 60313420 60323785 60335817 60313421 60323786 60336487 60313422 60323787 60337158 60315918 60325097
Recalling Firm/
Manufacturer		 Abbott Vascular
26531 Ynez Rd
Temecula CA 92591-4630
For Additional Information Contact Alicia Swanson
408-845-3427
Manufacturer Reason
for Recall		 Due to an increase in complaint trend for leaks and intermittent/loose connections.
FDA Determined
Cause 2		 Component change control
Action On 03/11/2022, the firm sent an "URGENT FIELD SAFETY NOTICE/DEVICE RECALL" Letter via visit, email or mail, to customers informing them that specific lots of 20/30 INDEFLATOR, INDEFLATOR Plus 30 and associated Priority Packs my exhibit leaks and/or a loose connection at the rotating luer assembly or stopcock connection, which could lead to air ingress under vacuum. Customers are instructed to: 1)Immediately stop using the devices from the affected lots 2) Review their inventory, complete and return the provided Effectiveness Check Form 3) Return all unused affected devices to the Recalling Firm 4) Share the Recall Notification with relevant personnel in their organization 5) if the affected products have been further distributed/transferred, notify those customers 6) Report any occurrence of product performance issues or patient adverse events to the Recalling Firm at 800-227-9902 The Recalling Firm: -Has immediately stop shipping devices from affected lots -Conducting an investigation to determine/confirm that there are not other affected products or lots in distribution -Implementing appropriate corrective actions to ensure product performance -Will work to replace inventory when available For questions or assistance contact the local representative or customer service department at 800-227-9902
Quantity in Commerce 131 lots
Distribution U.S Nationwide Distribution.: AL, AR, AZ, CA, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, NC, NE, NJ, NM, NV, NY, OH, OK, OR, PA, Puerto Rico, SC, TN, TX, VA, WA, and WI. O.U.S.: United Arab Emirates, France, Pakistan, Argentina, United Kingdom, Portugal, Australia, Greece, R¿union, Belgium, Guam, Romania, Brazil, Indonesia, Russian Federation, Bahamas, Israel, Saudi Arabia, Canada, India, Singapore, Switzerland, Italy, Slovakia, Chile, Jamaica, Thailand, China, Japan, Taiwan Republic of China, Colombia, Korea (South), Costa Rica, Luxembourg, Uruguay, Czech Republic, Mexico, Vietnam, Germany, Netherlands, South Africa, Dominican Republic, New Zealand, Spain, and Panama
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.
510(K) Database 510(K)s with Product Code = MAV and Original Applicant = ADVANCED CARDIOVASCULAR SYSTEMS, INC.
-
-