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NA CB1B33R29Recalls & reported problems

Medtronic, Inc. · CUSTOM PACK CB1B33R29 NNTL · Class 2

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

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 00763000640552), received between Aug 1, 2023 and Aug 1, 2023 — classified as 1 malfunction.

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

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. How this data works · Data updated Oct 13, 2026.

Most reported problems

Device problems

  • Crack1
  • Fluid/Blood Leak1

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 1, 2023Crack; Fluid/Blood Leak; Crack; Fluid/Blood Leak

    MEDTRONIC RECEIVED INFORMATION THAT DURING USE OF A CUSTOM TUBING PACK, IT WAS REPORTED THAT THE RACEWAY BOOT FOR THIS TUBING PACK MADE OF TYGON TUBING RUPTURED WHILE BEING USED ON A PATIENT. THE OCCLUSION OF THE ROLLER HEAD WAS ACCURATELY SET WITH A DIRECT FLOW PROBE AT SEVERAL POSITIONS. THE PUMP WAS AT 56 RPMS. APPROXIMATELY 50CC OF BLOOD LOSS WAS RECORDED. THE DEVICE WAS REPLACED TO COMPLETE THE PROCEDURE. THE PATIENT WAS REMOVED FROM SUPPORT FOR THE TIME NEEDED TO REPLACE THIS ITEM AS WELL AS EXPOSED TO ADDITIONAL PRIME VOLUME WITH DILUTIONAL EFFECT.  MEDTRONIC RECEIVED ADDITIONAL INFORMATION THAT THE PATIENT WAS OUT OF SUPPORT FOR APPROXIMATELY 2 MINUTES. THE TUBING ITSELF RUPTURED CAUSING THE COMPONENT TO LEAK. THERE WAS NO VISIBLE AIR IN THE TUBING. A TRANSFUSION WAS NOT REQUIRED AS A RESULT OF THIS LEAK.

    Patient problems: Hemorrhage/Blood Loss/Bleeding

    MAUDE report 17432651 ↗

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-1890-2021 · Apr 29, 2021 · Terminated
    Medtronic HY10L28R3, Custom Pack HY10L28R3 1/4 Pack, 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-1887-2021 · Apr 29, 2021 · Terminated
    Medtronic CB10R79R6, Custom Pack CB10R79R6 1/4X1/4 Loop, Custom Perfusion System, Sterile, Rx.
  • Z-1874-2021 · Apr 29, 2021 · Terminated
    Medtronic BB11J14R2, Custom Pack BB11J14R2 Bridge, Custom Perfusion System, Sterile, Rx.
  • Z-1873-2021 · Apr 29, 2021 · Terminated
    Medtronic BB10R94R6, Custom Pack BB10R94R6 1/4 ECCPK, 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-1882-2021 · Apr 29, 2021 · Terminated
    Medtronic CB10W64R1, Custom Pack CB10W64R1 CH Access 3/8, Custom Perfusion System, Sterile, Rx.
  • 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-1892-2021 · Apr 29, 2021 · Terminated
    Medtronic BB8M63R5, Custom Pack BB8M63R5 Adult ECC, 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-1872-2021 · Apr 29, 2021 · Terminated
    Medtronic HY8M63R4, Custom Pack HY8M63R4 Adult ECC, 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-1876-2021 · Apr 29, 2021 · Terminated
    Medtronic CB7J97R8, Custom Pack CB7J97R8 U14 E Sup, Custom Perfusion System, Sterile, Rx.
  • Z-1875-2021 · Apr 29, 2021 · Terminated
    Medtronic HY7M07R6, Custom Pack HY7M07R6 E 1/4, Custom Perfusion System, Sterile, Rx.

…and 10 more.

Other Catheter, cannula and tubing, vascular, cardiopulmonary bypass devices

All Catheter, cannula and tubing, vascular, cardiopulmonary bypass devices →

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