| Date Initiated by Firm | February 02, 2004 |
| Date Posted | February 11, 2004 |
| Recall Status1 |
Terminated 3 on March 24, 2004 |
| Recall Number | Z-0537-04 |
| Recall Event ID |
28227 |
| 510(K)Number | K011911 |
| Product Classification |
Catheter And Tip, Suction - Product Code JOL
|
| Product | Pump Tube, REF 8170,121; Suction Pump Drain Tube; An accessory to the suction pump designed for use with the Richard Wolf Ultrasound Lithotriptor used to disintegrate kidney stones, urinary bladder stones and ureter stones; Richard Wolf GmbH, D-75438 Knittlingen Germany |
| Code Information |
part number 8170.121 There is no lot number or production code. |
Recalling Firm/ Manufacturer |
Richard Wolf Medical Instruments Corp. 353 Corporate Woods Pkwy Vernon Hills IL 60061-3110
|
| For Additional Information Contact | Mr. Robert L. Casarsa 800-323-9653 |
Manufacturer Reason for Recall | If the drain tube is assembled incorrectly, the suction pump will not operate as intended. |
FDA Determined Cause 2 | Other |
| Action | The accounts were telephoned on 2/2/04 and informed of the potential to re-assemble the suction pump drain tubing incorrectly after sterilization. The accounts were sent re-designed replacement tubing sets and were requested to return the old tubing sets to Richard Wolf. |
| Quantity in Commerce | 2 tube sets |
| Distribution | Texas and Nebraska |
| 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 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 = JOL
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