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NA HY8C67R16Recalls & reported problems

Medtronic, Inc. · CUSTOM PACK HY8C67R16 VAVD PK · Class 2

Data updated Oct 16, 2026 from official FDA records · Editorial policy

1 open recall names this device. See the recall details and contact the manufacturer or your healthcare provider.

Adverse event reports
1
Deaths reported
0
Injuries reported
0
Recalls naming it
1

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 00763000535070), received between Aug 23, 2022 and Aug 23, 2022 — classified as 1 malfunction.

The most frequently reported specific device problem is “Fluid/Blood Leak” (1 report).

1 FDA recall record name this device's identifier, 1 still open.

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.

Recalls naming this device

  1. Dec 12, 2022Open, Classified

    An upward trend of complaints in which the Temperature Monitoring Adapter (TMA), located on the Affinity Fusion Oxygenator, had come loose from the oxygenator either during pre-procedure perfusion set-up or post-procedure when disassembling the perfusion circuit.

    Z-1027-2023 · Root cause: Process change control · Recall details · FDA record ↗

Most reported problems

Device problems

  • Fluid/Blood Leak1
  • Material Separation1

Patient problems

  • Hemorrhage/Blood Loss/Bleeding1

Recent adverse event reports

The 1 most recent of 1 reports, in the reporter's own words as published by the FDA.

  • MalfunctionAug 23, 2022Fluid/Blood Leak; Material Separation; Fluid/Blood Leak; Material Separation

    MEDTRONIC RECEIVED INFORMATION THAT DURING USE OF A CUSTOM PACK, IT WAS REPORTED THAT THE CONNECTION OF PERFUSION TUBING TO THE BIO-PROBE FLOW PROBE WAS LOOSE. THE CUSTOMER STATED THAT IT APPEARED THAT THE CONNECTION WAS TIE BANDED BUT NOT BONDED AND IT BEGAN TO LEAK DURING THE PROCEDURE. THE CUSTOMER RE-POSITIONED AND ADDED ADDITIONAL TIE BANDS. IT WAS STATED THAT THE LOOSE CONNECTION RESULTED IN BLOOD LOSS.

    Patient problems: Hemorrhage/Blood Loss/Bleeding

    MAUDE report 15275217 ↗

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-1877-2021 · Apr 29, 2021 · Terminated
    Medtronic HY11B40R1, Custom Pack HY11B40R1 1/4 Respirato, Custom Perfusion System, Sterile, Rx.
  • Z-1883-2021 · Apr 29, 2021 · Terminated
    Medtronic HY10J00R12, Custom Pack HY10J00R12 ECC Small CA, Custom Perfusion System,
  • Z-1889-2021 · Apr 29, 2021 · Terminated
    Medtronic CB7J98R7, Custom Pack CB7J98R7, Custom Pack CB7J98R7 3/8 Pack, Custom Perfusion System, Sterile, Rx.
  • Z-1895-2021 · Apr 29, 2021 · Terminated
    Medtronic 1A46R11, Custom Pack 1A46R11 Neonatal, Custom Perfusion System, Sterile, Rx.
  • Z-1890-2021 · Apr 29, 2021 · Terminated
    Medtronic HY10L28R3, Custom Pack HY10L28R3 1/4 Pack, Custom Perfusion System, Sterile, Rx.
  • Z-1879-2021 · Apr 29, 2021 · Terminated
    Medtronic CB10W63R1, Custom Pack CB10W63R1 HL 20 1/4, Custom Perfusion System, Sterile, Rx.
  • Z-1882-2021 · Apr 29, 2021 · Terminated
    Medtronic CB10W64R1, Custom Pack CB10W64R1 CH Access 3/8, Custom Perfusion System, Sterile, Rx.
  • Z-1884-2021 · Apr 29, 2021 · Terminated
    Medtronic CB10W65R1, Custom Pack CB10W65R1 CH Access1/4, Custom Perfusion System, Sterile, Rx.
  • Z-1891-2021 · Apr 29, 2021 · Terminated
    Medtronic CB10Y89R10, Custom Pack CB10Y89R10 ECC 3/8 A/V, Custom Perfusion System, Sterile, Rx.
  • Z-1887-2021 · Apr 29, 2021 · Terminated
    Medtronic CB10R79R6, Custom Pack CB10R79R6 1/4X1/4 Loop, Custom Perfusion System, Sterile, Rx.
  • Z-1881-2021 · Apr 29, 2021 · Terminated
    Medtronic CB4W67R20, Custom Pack CB4W67R20 Adult E, Custom Perfusion System, Sterile, Rx.
  • Z-1892-2021 · Apr 29, 2021 · Terminated
    Medtronic BB8M63R5, Custom Pack BB8M63R5 Adult ECC, Custom Perfusion system, Sterile, Rx.
  • Z-1894-2021 · Apr 29, 2021 · Terminated
    Medtronic BB9G78R8, Custom Pack BB9G78R8 ECC Supp, Custom Perfusion System, Sterile, Rx.
  • Z-1885-2021 · Apr 29, 2021 · Terminated
    Medtronic HY10Y54R4, Custom Pack HY10Y54R4 ECC PED 1/4, Custom Perfusion System, Sterile, Rx.
  • Z-1880-2021 · Apr 29, 2021 · Terminated
    Medtronic HY8R62R13,Custom Pack HY8R62R13 E Pack, Custom Perfusion System, Sterile, Rx.

…and 10 more.

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Sources and updates

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