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U.S. Department of Health and Human Services

Class 1 Device Recall Cook Central Venous Catheter Tray, Triple Lumen Polyurethane

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 Class 1 Device Recall Cook Central Venous Catheter Tray, Triple Lumen Polyurethanesee related information
Date Initiated by FirmOctober 04, 2010
Date PostedFebruary 23, 2011
Recall Status1 Terminated 3 on June 21, 2011
Recall NumberZ-1105-2011
Recall Event ID 57663
510(K)NumberK081113 
Product Classification Peripherally Inserted, Central Venous Catheter Tray - Product Code FOZ
ProductCook Central Venous Catheter Tray, Triple Lumen Polyurethane, 5.0Fr/12cm, CUTLMY501JRSCCCT, G26945, Sterile, Cook Medical, Cook Incorporated, Bloomington, IN.
Code Information Part Number: C¿UTLMY¿501J¿RSC¿CCT; Global Part Number G26945;  Lots: F2317782, F2339221, F2343678, F2349601 F2356651, F2360192, F2362194 and F2368194. 
Recalling Firm/
Manufacturer		 Cook, Inc.
750 Daniels Way
Bloomington IN 47404-9120
For Additional Information ContactRita A. Harden
812-339-2235
Manufacturer Reason
for Recall		Cook, Inc. is recalling Single, Double, Triple, and Five-Lumen Central Venous Catheter Trays AND Single and Double Lumen PICC Peripherally Inserted Central Venous Catheter Trays. These kits and trays contain 0.9% Sodium Chloride Injection USP 5 mL fill in 6 mL flush syringes that have been recalled by Excelsior Medical. During a routine test for syringe sterility, a possible integrity failure wa
FDA Determined
Cause 2		Nonconforming Material/Component
ActionCook, Inc. sent URGENT DEVICE RECALLS letters to its customers dated 10/4/2010. The letters asked customers to examine their inventory and notify Cook for product return. The letter included a response form.
Quantity in Commerce51,473 total kits/trays
DistributionWorldwide distribution: USA, Chile, Colombia, Panama, Barbados, Canada, Guatemala, and Saudi Arabia.
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 = FOZ
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