Class 2 Device Recall Medtronic Input TS Introducer Set

• Date Initiated by Firm: October 07, 2008
• Date Posted: December 02, 2008
• Recall Status: Terminated on June 07, 2011
• Recall Number: Z-0444-2009
• Recall Event ID: 50078
• 510(K)Number: K955785
• Product Classification: Catheter Introducer - Product Code DYB
• Product: Medtronic Input TS 7F 11 cm Ref: 071102A Percutaneous catheter introducer sets, including sheath, dilator, guide wire and needle, are used to facilitate placing a catheter through the skin into a vein or artery. Percutaneous introducers are recommended for initial percutaneous introduction or the exchange of intravascular devices. Guide wire introducer needles are used for percutaneous puncture and insertion into the blood vessel. The guide wire is then inserted through the cannula of the introducer needle at the puncture site. The cannula is then removed to allow insertion of the percutaneous catheter introducer following removal of the guide wire introducer needle.
• Code Information: Lot Number: 20105895
• Recalling Firm/ Manufacturer: Medtronic, Inc.; 35-37A Cherry Hill Drive; Danvers MA 01923-2565
• For Additional Information Contact: SAME; 978-777-0042
• Manufacturer Reason for Recall: Failure to insert the guidewire through the 18 gauge introducer needle
• FDA Determined Cause: Nonconforming Material/Component
• Action: Medtronic notified Medtronic Sales representatives via UPS for hand delivery of the Urgent Notification of Product Recall letter to the affected customers on 10/7/08 advising users to segregate the product so that it would not be used. The letter stated that a Medtronic Sales Rep would visit the site to account for all units that were received and would initiate a credit, as appropriate. Customers were requested to cooperate and assist with completing the necessary documentation.
• Quantity in Commerce: 335 units
• Distribution: Worldwide Distribution --- USA including states of IL and FL, and countries of Belgium, Honduras, and Germany.
• 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.

• 510(K) Database: 510(K)s with Product Code = DYB