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U.S. Department of Health and Human Services

Class 2 Device Recall Colleague

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 Class 2 Device Recall Colleaguesee related information
Date Initiated by FirmJuly 16, 2003
Date PostedAugust 21, 2003
Recall Status1 Terminated 3 on June 29, 2004
Recall NumberZ-1164-03
Recall Event ID 26772
510(K)NumberK982672 
Product Classification Set, Administration, Intravascular - Product Code FPA
ProductColleague Pump Syringe Adapter Set, 92'', Injection Site, Non-DEHP Tubing, Luer Lock Adapters, catalog 2C0169; Baxter Healthcare Corporation, Deerfield, IL 60015 USA
Code Information catalog 2C0169, lot numbers UR152843 through UR164376. Please note: Baxter lot numbers are represented by an internal reference code ''UR'' followed by a six digit sequential number, or by the letter ''U'' followed by a six digit sequential number with and ''R'' suffix. Any lot number appearing within the identified six digit sequential number range is subject to the recall.
Recalling Firm/
Manufacturer		 Baxter Healthcare Corp.
Rt 120 & Wilson Rd
Round Lake IL 60073
For Additional Information ContactCenter for One Baxter
800-422-9837
Manufacturer Reason
for Recall		There are possible pinholes or perforations in the set tubing, caused by damage that occurred during the packaging process.
FDA Determined
Cause 2		Other
ActionRecalled by letter dated 7/16/03. The accounts were informed of the potential for leaks in the set tubing, and asked to inspect their inventory for the affected product codes and lots, segregate any affected products found and discard them according to local procedures. The customers will receive credit for the discarded affected product.
Quantity in Commerce12,576 units
DistributionNationwide, Mexico, Canada, Columbia, Australia, New Zealand and Taiwan
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 = FPA
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