Z-1354-2021Class II
CODMAN HAKIM BACTISEAL Shunt System Clear with Barium Stripe Peritoneal Catheter 120cm, with drainage Holes...
Integra LifeSciences Corporation / initiated 2021-03-17 / Terminated / root cause: labeling and UDI
Integra LifeSciences Corp. began a recall of CODMAN HAKIM BACTISEAL Shunt System Clear with Barium Stripe Peritoneal Catheter 120cm, with drainage Holes and Marking. For use in the treatment of... on . FDA classified it as Class II and gives the reason as "Incorrect labeling, Catheter did not have the required holes and markings". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.
Recall record
- Recall number
- Z-1354-2021
- Classification
- Class II
- Status
- Terminated
- Initiated
- Posted
- Terminated
- Recalling firm
- Integra LifeSciences Corporation
- Product
- CODMAN HAKIM BACTISEAL Shunt System Clear with Barium Stripe Peritoneal Catheter 120cm, with drainage Holes and Marking. For use in the treatment of hydrocephalus. Catalog Number: NS5524
- Product code
- HCA Catheter, Ventricular
- Reason for recall
- Incorrect labeling, Catheter did not have the required holes and markings
- Root cause tag
- labeling and UDI
- FDA root cause
- Labeling Change Control
- Action
- Integra LifeSciences issued Voluntary Urgent Medical Device Recall letter via courier service, facsimile or email on March 17th for delivery on March 19th, 2021. Letter states reason for recall, health risk and action to take: If you do have the affected product in Table 1, remove the product from service. b. Complete the attached acknowledgement form. If you do have affected product, check the box I do have affected product. Record the total quantity of the affected product you have. c. If you do not have affected product, check the box, I do not have affected product. d. Return the completed acknowledgement form to [email protected] or FAX to 1-609-750-4220 e. Keep a copy of the form for your records. f. When your form is received, and it is noted that you have the affected product, Customer Service will contact you and provide a Return Material Authorization (RMA) number and directions to return the product. A replacement order will also be placed for the quantity noted on the form. Receipt of the acknowledgement form ensures that Integra has achieved a level of effectiveness in communicating this information effectively. We recommend you also maintain a copy of this notification and signed copy of the acknowledgement forms for your records. Regulatory agencies such as the FDA perform audits of field actions of this nature to verify that our customers have been notified and understand the nature of the field action. Should you have any questions regarding these instructions, please contact Customer Service: USA: 800-654-2873 Monday- Friday 8:00AM EST 6:00PM EST [email protected]
- Quantity in commerce
- 49 units
- Distribution
- CA CO FL KY MD NC NC NY NY TX WI
- Product codes and lots
- Lot Number: 5028205 UDI: (01)10381780526797 (17)210930(10)5028205
Enforcement reports
One row per recalled product line| Recall number | Class | Status | Voluntary or mandated | Report date | Classified |
|---|---|---|---|---|---|
| Z-1354-2021 | Class II | Terminated | Voluntary: Firm initiated |
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