NA BB12R12R1Recalls & reported problems
Medtronic, Inc. · CUSTOM PACK BB12R12R1 HLN BANPAC · Class 2
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 2
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 2 adverse event reports that list this exact device (DI 00199150045402), received between Apr 8, 2026 and Apr 8, 2026 — classified as 2 malfunctions.
The most frequently reported specific device problem is “Fluid/Blood Leak” (2 reports).
25 other recalls cover devices cleared under the same FDA submission (K171979); they may or may not involve this specific model.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Reports received per month
Most reported problems
Device problems
- Fluid/Blood Leak2
- Break1
- Crack1
- Material Puncture/Hole1
Patient problems
- Hemorrhage/Blood Loss/Bleeding1
- No Clinical Signs, Symptoms or Conditions1
Recent adverse event reports
The 2 most recent of 2 reports, in the reporter's own words as published by the FDA.
MalfunctionApr 8, 2026Crack; Fluid/Blood Leak; Material Puncture/Hole
IT WAS REPORTED THAT DURING USE OF A CUSTOM TUBING PACK, A CRACK IN THE VACUUM RELIEF VALVE (VRV) ON THE GREEN SUCTION LINE WAS OBSERVED, WHICH CAUSED A LEAK DURING THE CASE. THE BREAK IN THE VRV ON THE GREEN SUCTION LINE WAS CONFIRMED TO BE COMPLETE. THE DEVICE WAS REPLACED TO COMPLETE THE CASE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT. MEDTRONIC RECEIVED ADDITIONAL INFORMATION THAT LESS THAN 5ML OF PATIENT BLOOD WAS LOST, AND AN UNPLANNED BLOOD TRANSFUSION WAS NOT REQUIRED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24818882 ↗MalfunctionApr 8, 2026Break; Fluid/Blood Leak
IT WAS REPORTED THAT DURING USE OF A CUSTOM TUBING PACK, THE VACUUM RELIEF VALVE (VRV) ON THE GREEN SUCTION LINE BURST, WHICH CAUSED A BLOOD LEAK. THE BREAK IN THE VRV ON THE GREEN SUCTION LINE WAS CONFIRMED TO BE COMPLETE. THE DEVICE WAS REPLACED TO COMPLETE THE CASE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT. MEDTRONIC RECEIVED ADDITIONAL INFORMATION THAT 5ML OF PATIENT BLOOD LOSS OCCURRED AS A RESULT OF THIS LEAK. AND AN UNPLANNED BLOOD TRANSFUSION WAS NOT REQUIRED.
Patient problems: Hemorrhage/Blood Loss/Bleeding
MAUDE report 24814319 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K171979. One submission often covers many models, so check the product and lot details in each record.
- Z-1889-2021 · Apr 29, 2021 · TerminatedMedtronic CB7J98R7, Custom Pack CB7J98R7, Custom Pack CB7J98R7 3/8 Pack, Custom Perfusion System, Sterile, Rx.
- Z-1895-2021 · Apr 29, 2021 · TerminatedMedtronic 1A46R11, Custom Pack 1A46R11 Neonatal, Custom Perfusion System, Sterile, Rx.
- Z-1886-2021 · Apr 29, 2021 · TerminatedMedtronic HY10D90R2, Custom Pack HY10D90R2 3/8 ACC, Custom Perfusion System, Sterile, Rx.
- Z-1887-2021 · Apr 29, 2021 · TerminatedMedtronic CB10R79R6, Custom Pack CB10R79R6 1/4X1/4 Loop, Custom Perfusion System, Sterile, Rx.
- Z-1891-2021 · Apr 29, 2021 · TerminatedMedtronic CB10Y89R10, Custom Pack CB10Y89R10 ECC 3/8 A/V, Custom Perfusion System, Sterile, Rx.
- Z-1882-2021 · Apr 29, 2021 · TerminatedMedtronic CB10W64R1, Custom Pack CB10W64R1 CH Access 3/8, Custom Perfusion System, Sterile, Rx.
- Z-1893-2021 · Apr 29, 2021 · TerminatedMedtronic BB7D76R13, Custom Pack BB7D76R13 CORR HL, Custom Perfusion System, Sterile, Rx.
- Z-1879-2021 · Apr 29, 2021 · TerminatedMedtronic CB10W63R1, Custom Pack CB10W63R1 HL 20 1/4, Custom Perfusion System, Sterile, Rx.
- Z-1881-2021 · Apr 29, 2021 · TerminatedMedtronic CB4W67R20, Custom Pack CB4W67R20 Adult E, Custom Perfusion System, Sterile, Rx.
- Z-1871-2021 · Apr 29, 2021 · TerminatedMedtronic HY10Z48R2, Ctr., Custom Pack HY10Z48R2 Adult ECC 1/4, Custom Perfusion System, Sterile, Rx.
- Z-1878-2021 · Apr 29, 2021 · TerminatedMedtronic CB1H18R20, Custom Pack CB1H18R20 Accesory, Custom Perfusion System, Sterile, Rx.
- Z-1885-2021 · Apr 29, 2021 · TerminatedMedtronic HY10Y54R4, Custom Pack HY10Y54R4 ECC PED 1/4, Custom Perfusion System, Sterile, Rx.
- Z-1892-2021 · Apr 29, 2021 · TerminatedMedtronic BB8M63R5, Custom Pack BB8M63R5 Adult ECC, Custom Perfusion system, Sterile, Rx.
- Z-1884-2021 · Apr 29, 2021 · TerminatedMedtronic CB10W65R1, Custom Pack CB10W65R1 CH Access1/4, Custom Perfusion System, Sterile, Rx.
- Z-1876-2021 · Apr 29, 2021 · TerminatedMedtronic CB7J97R8, Custom Pack CB7J97R8 U14 E Sup, Custom Perfusion System, Sterile, Rx.
…and 10 more.
Other Catheter, cannula and tubing, vascular, cardiopulmonary bypass devices
- DLP™ 77010Medtronic, Inc. · Catheter, cannula and tubing, vascular, cardiopulmonary bypass1 recall154 reports
- EOPA™ 77422Medtronic, Inc. · Catheter, cannula and tubing, vascular, cardiopulmonary bypass2 recalls19 reports
- DLP™ 77008Medtronic, Inc. · Catheter, cannula and tubing, vascular, cardiopulmonary bypass2 recalls9 reports
- NA HY11W65R1Medtronic, Inc. · Catheter, cannula and tubing, vascular, cardiopulmonary bypass2 recalls8 reports
- DLP® 12113Medtronic, Inc. · Catheter, cannula and tubing, vascular, cardiopulmonary bypass2 recalls6 reports
- DLP® Aortic Root Cannula with Flow-Guard™ 11012Medtronic, Inc. · CATHETER, CANNULA AND TUBING, VASCULAR, CARDIOPULMONARY BYPASS2 recalls5 reports
- EOPA™ 77622Medtronic, Inc. · Catheter, cannula and tubing, vascular, cardiopulmonary bypass2 recalls4 reports
- NA HY11R00R6Medtronic, Inc. · Catheter, cannula and tubing, vascular, cardiopulmonary bypass2 recalls3 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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