Date Initiated by Firm | October 08, 2003 |
Date Posted | October 22, 2003 |
Recall Status1 |
Terminated 3 on November 10, 2004 |
Recall Number | Z-0048-04 |
Recall Event ID |
27449 |
510(K)Number | K900035 |
Product Classification |
Tube, Double Lumen For Intestinal Decompression And/Or Intubation - Product Code FEG
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Product | Brodmerkel Colon Decompression Set, CDSB-10, Catheter Diameter: 10 Fr. Catheter Length: 350 cm. Sideports: 10, Standard wire Guide: .035''/480 cm. Disposable Single use only, Rx Only. Cook, Wilson-Cook Medicl GI Endoscopy, 4900 Bethania Station Road, Winston-Salem, NC 27105. |
Code Information |
Catalog # CDSB-10, Lot #1589467 |
Recalling Firm/ Manufacturer |
Wilson-Cook Medical Inc 4900 Bethania Station Rd & 5951 Grassy Creek Blvd. Winston-Salem NC 27105
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For Additional Information Contact | Jessica Hughes 336-744-0157 |
Manufacturer Reason for Recall | Product may be packaged with an incorrect instructions for use (IFU) booklet. |
FDA Determined Cause 2 | Other |
Action | Recall notification was sent via email to Wilson-Cook, sales representatives on 10/08/2003 for personal delivery to the affected accounts. Consignees were advised to quarantine and return all affected product via Federal Express (using Wilson-Cook Medical account) to the recalling firm. A verification form was included at the bottom portion of the notice to be returned with the affected product or faxed to Wilson-Cook. Replacement product or account credit will be provided upon receipt of any affected devices. |
Quantity in Commerce | 9 pieces |
Distribution | The product was distributed to Hospitals located in CA, NC, PA, and WI. |
Total Product Life Cycle | TPLC Device Report |
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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.
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510(K) Database | 510(K)s with Product Code = FEG
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