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Medtronic 2T10R1 Intersept Custom Tubing Pack. Pack… recallZ-0583-2007 · Medtronic Perfusion Systems · initiated Jan 2, 2007

Terminated All recalls posted in March 2007

Is my device affected?

  1. Compare the model, catalog and lot or serial numbers on your device or its packaging with the code information below. A recall usually covers only specific models or lots.
  2. If yours is listed, follow the instructions from Medtronic Perfusion Systems or your healthcare provider. The company's action is summarized under what the company is doing.
  3. Do not stop using a prescribed or implanted device on your own — talk to your healthcare provider first.

Where to find your model and lot numbers · What recall classes and statuses mean

Why it was recalled

One lot of Custom Perfusion Sets, Catalog 2T10R1 was incorrectly assembled. The one way vacuum relief valve on the 102 inch line is attached backwards, thus preventing flow.

FDA root cause category: Other

What the company is doing

There was only one customer. The customer was sent a letter on December 29, 2006, requesting that the impacted product be disposed of or returned to Medtronic for disposal.

Recall details

Recall number
Z-0583-2007
Recall class
Not yet classified by the FDA
Status
Terminated
Initiated by the company
Jan 2, 2007
Posted by the FDA
Mar 8, 2007
Recalling firm
Medtronic Perfusion Systems
Quantity
17
Product code
DWE
FDA submissions
K800178, K891687
Distribution
Illinois

Product description

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 has a one way vacuum relief valve assembled in one end. Tubing is used in the vent roller heads of the heart lung machine. This tubing is connected to the cannula in the patient in order to divert blood to the circuit when the patient is on bypass.

Code information (models, lots, serial numbers)

Lot 5666215

Other devices under the same FDA submission

155 devices cleared under K800178, K891687 — the recall does not name any of them by identifier. One submission often covers many models, so they may or may not be affected.

Sources and updates

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