Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1702-2018Class II

BARD BrachySource Iodine125 radioactive seeds consist of a welded titanium capsule containing the I125...

Bard Brachytherapy, Inc. / initiated 2018-04-10 / Terminated / root cause: labeling and UDI

Bard Brachytherapy, Inc. began a recall of BARD BrachySource Iodine125 radioactive seeds consist of a welded titanium capsule containing the I125 absorbed onto a nickel / copper-coated, gold-cored... on . FDA classified it as Class II and gives the reason as "Bard Medical Division is recalling the BARD BrachySource Iodine125 Radioactive Seeds in Mick Applicators and BARD BrachySource Iodine125 Radioactive Seeds Loose in Vial with Sterile Spacers. Because the incorrect dosage...". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-1702-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Bard Brachytherapy, Inc.
Product
BARD BrachySource Iodine125 radioactive seeds consist of a welded titanium capsule containing the I125 absorbed onto a nickel / copper-coated, gold-cored aluminum wire (reference Figure 1 below). The I125 has a half-life of 59.6 days and decays by electron capture with the emission of characteristic photons and Auger electrons. The principal photon emissions are 27.4 and 31 keV x-rays and 35.5 keV gamma. The titanium wall of the BrachySource Seed Implants absorbs the electrons.
Product code
KXK Source, Brachytherapy, Radionuclide
Reason for recall
Bard Medical Division is recalling the BARD BrachySource Iodine125 Radioactive Seeds in Mick Applicators and BARD BrachySource Iodine125 Radioactive Seeds Loose in Vial with Sterile Spacers. Because the incorrect dosage level radioactive seeds were mixed up and sent to two hospitals. One Hospital ordered BrachySource Iodine125 0.36 mCi radioactive seeds but instead received BrachySource Iodine125 0.28 mCi radioactive seeds and vice versa for the other hospital affected.
Root cause tag
labeling and UDI
FDA root cause
Labeling mix-ups
Action
The notification to the customer was completed by Bard Medical Customer Service via a telephone call to alert them of the incorrect product shipped on April 10, 2018. Bard Medical Division is recalling the BARD BrachySource Iodine125 Radioactive Seeds in Mick Applicators and BARD BrachySource Iodine125 Radioactive Seeds Loose in Vial with Sterile Spacers. The incorrect dosage level of radioactive seeds was sent to 2 hospitals. One hospital ordered 0.36 mCi radioactive seeds but instead received 0.28 mCi radioactive seeds intended for the other hospital. For further questions, please call (770) 385-0562.
Quantity in commerce
70 Seeds at 0.28mCi and 100 seeds at 0.36mCi
Distribution
US Distribution to the states of : California and Georgia
Product codes and lots
Product Code:1251CSR, BrachySource¿ Seed Implants in Re-Usable Mick¿ Applicators (60 seeds at 0.28mCi) with Lot BBCP0079  Product Code: 1251CSRA, BrachySource¿ Seed Implants in Shielded Mick¿ Applicators (10 seeds at 0.28mCi) with Lot BBCQ0026  Product Code: PS1251LS, Loose BrachySource¿ Seed Implants (with Lot BBCQ0050) Spacers (with Lot 23498276) 100 Seeds at 0.36 mCi.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1702-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1702-2018Class IITerminatedVoluntary: Firm initiated