Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1194-2013Class I

A) Presource PBDS, Lap Chole, Kit, Clean Up; B) Presource PBDS, Greenwood LeFlore Hosp, Lap Chole, Kit

Medtronic, Inc. / initiated 2013-03-26 / Terminated / root cause: packaging

Cardinal Health, Medical Products & Services began a recall of A) Presource PBDS, Lap Chole, Kit, Clean Up; B) Presource PBDS, Greenwood LeFlore Hosp, Lap Chole, Kit on . FDA classified it as Class I and gives the reason as "Various Presource Kits contain a pre-assembled Filter and Anesthesia Circuit that may contain outer plastic packaging on one or more components. If the packaging is removed without disassembling the components, remnants...". As of , the recall status on record is Terminated, and MDM tags the root cause as packaging.

Recall record

Recall number
Z-1194-2013
Classification
Class I
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Medtronic, Inc.
Product
A) Presource PBDS, Lap Chole, Kit, Clean Up; B) Presource PBDS, Greenwood LeFlore Hosp, Lap Chole, Kit
Product code
OFP Anesthesia Breathing Circuit Kit (Adult & Pediatric)
Reason for recall
Various Presource Kits contain a pre-assembled Filter and Anesthesia Circuit that may contain outer plastic packaging on one or more components. If the packaging is removed without disassembling the components, remnants of the plastic from the packaging material may become lodged in the filter potentially causing an obstruction of airflow.
Root cause tag
packaging
FDA root cause
Packaging process control
Action
Affected consignees were notified with a letter, dated March 26, 2013, sent via FedEx Priority, of this action. Cardinal Sales Representatives will also be advised and will verbally communicate the action to affected customers. The letter identified the affected product and the problem. Customers are to locate any affected product and quarantine them. In addition, clinicians should be informed of the issue; and, warning labels should be affixed to the front of each kit instructing users to remove and discard the Anesthesia Circuit and Filter Assembly. In order to confirm receipt of this action and completion of labeling the product, the enclosed Acknowledgement Form should be completed and returned to the number provided. If customers do now wish to accept overlabeled product or to overlabel the product in their possession, they are to contact Presource Sales Operations at 800-766-0706, or their sales representative for further instruction. Customers are to contact Cardinal Health Quality Systems at 800-292-9332, if they have any questions or need special assistance.
Quantity in commerce
4,571 Kits total
Distribution
Distributed in the states of AR, MS, SC, and TN.
Product codes and lots
A) Catalog Number: PG24LCGWG02; Lots: 153502, 162892, 170494, 180482 88701, 193548, 198163, 206986;   B) Catalog Number: PG24LCGWG; Lots:153502, 162892, 170494, 180482, 188701, 193548, 198163, 206986

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1194-2013
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1193-2013Class ITerminatedVoluntary: Firm initiated
Z-1194-2013Class ITerminatedVoluntary: Firm initiated
Z-1195-2013Class ITerminatedVoluntary: Firm initiated
Z-1196-2013Class ITerminatedVoluntary: Firm initiated
Z-1197-2013Class ITerminatedVoluntary: Firm initiated
Z-1198-2013Class ITerminatedVoluntary: Firm initiated
Z-1199-2013Class ITerminatedVoluntary: Firm initiated
Z-1200-2013Class ITerminatedVoluntary: Firm initiated
Z-1201-2013Class ITerminatedVoluntary: Firm initiated
Z-1202-2013Class ITerminatedVoluntary: Firm initiated
Z-1203-2013Class ITerminatedVoluntary: Firm initiated
Z-1204-2013Class ITerminatedVoluntary: Firm initiated
Z-1205-2013Class ITerminatedVoluntary: Firm initiated
Z-1206-2013Class ITerminatedVoluntary: Firm initiated