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NA TL10D99R2Recalls & reported problems

Medtronic, Inc. · CUSTOM PACK TL10D99R2 ECPR CIRC · Class 2

Adverse event reports
2
Deaths reported
0
Injuries reported
2
Recalls naming it
0

Summary

The FDA's MAUDE database contains 2 adverse event reports that list this exact device (DI 00763000065621), received between May 15, 2020 and May 20, 2020 — classified as 2 injuries.

The most frequently reported specific device problem is “Decoupling” (1 report).

10 other recalls cover devices cleared under the same FDA submission (K800178); 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. How this data works · Data updated Oct 13, 2026.

Most reported problems

Device problems

  • Decoupling1
  • Material Separation1

Patient problems

  • Blood Loss2

Recent adverse event reports

The 2 most recent of 2 reports, in the reporter's own words as published by the FDA.

  • InjuryMay 20, 2020Material Separation; Material Separation

    MEDTRONIC RECEIVED INFORMATION THAT DURING USE OF A CUSTOM TUBING PACK A BRIDGE CONNECTOR CAME APART AND BLOOD LOSS OF 100ML WAS REPORTED. THE CUSTOMER HAD A SPARE BRIDGE AND WAS ABLE TO PLACE IT INTO THE CIRCUIT. THE PATIENT HAD A BLOOD LOSS ESTIMATED AT 100 ML FROM THE BRIDGE BREAK AND WAS TRANSFUSED WITH MULTIPLE BLOOD PRODUCTS.

    Patient problems: Blood Loss

    MAUDE report 10073945 ↗
  • InjuryMay 15, 2020Decoupling; Decoupling

    MEDTRONIC RECEIVED INFORMATION THAT DURING ECMO USING A CUSTOM TUBING PACK IT WAS NOTED THAT THE BRIDGE CAME APART AND BLOOD LOSS OF 60ML WAS REPORTED. PATIENT RECEIVED A TRANSFUSION OF 120 RBC AT THE TIME AND ALSO RECEIVED CHEST COMPRESSIONS DURING THE BRIDGE DISCONNECT.

    Patient problems: Blood Loss

    MAUDE report 10060630 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under K800178. One submission often covers many models, so check the product and lot details in each record.

  • Z-2736-2015 · Aug 18, 2015 · Terminated
    MEDTRONIC PERFUSION TUBING PACKS (with potentially affected Hemoconcentrators). Model # 7U65R2, 8C72R4, 6N21R2, BB7M38R11, TL2Q68R17, HY8R66R3, HY2U43R9, 8C72R4, BB5J59R19, 6B65R3
  • Z-1000-2014 · Jan 30, 2014 · Terminated
    Medtronic Intersept Custom Tubing Pack which contain Select 3D or Select CAP Arterial Cannulae. Model 3Y90R3, the following model is only approved in Europe C300901B. Sterilized
  • Z-2104-2013 · Jul 17, 2013 · Terminated
    Medtronic Custom Perfusion System. Model Numbers: 1D80R8, 1E34R1, 1F75R1, 1G49R2, 1G75R1, 1P07R8, 1P91R4, 5B15R11, and 5P51R9. Sterilized by Ethylene Oxide, Do no Reuse. Pr
  • Z-0618-2013 · Nov 19, 2012 · Terminated
    Medtronic Intersept Custom Tubing Pack with or without coating ( Carmeda BioActive Surfact, Carmeda BioActive Surfact and Trillium Biosurface,or Balance Biosurface) with the follow
  • Z-0814-2012 · Dec 14, 2011 · Terminated
    Custom Packs/ Kerkrade. Contain Medtronic Venous Cannula, Sterile EO. Model #'s C330201C, C330201D, C330201E, C330206B, C342603A, C350106A, C390101D, C390203D, C390406C, C390409
  • Z-1424-2009 · Feb 25, 2009 · Terminated
    Medtronic, Transfer Spike, Blood Processing Accessory, REF BT945, Sequestration Kits
  • Z-1227-2007 · Aug 1, 2007 · Terminated
    Medtronic Intersept 3608 Sterile tubing (8') 1/2 x 3/32 in. Quantity 10, Lot 7626621, Use by 2009-07-31. Manufacturer: Medtronic, Inc. Minneapolis, MN 55432-5604 USA. Diffe
  • Z-0583-2007 · Jan 2, 2007 · Terminated
    Medtronic 2T10R1 Intersept Custom Tubing Pack. Pack 2T10R1 consists of two PVC lines; one of them is 132 inch in length and is capped. The second line is 102 inch in length and
  • Z-0340-2007 · Sep 13, 2006 · Terminated
    Medtronic Intersept Custom Tubing Pack. Do Not Reuse. The design and components of this product were specified by the user from an array of components and designs offered by the
  • Z-0808-05 · Mar 25, 2005 · Terminated
    Medtronic Custom Packs and Total System Packs. Pack can contain a number of different components specified by the customer and individualized for their bypass circuit set up requ

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Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.