Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
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
FDA enforcement reports joined to recall event Z-1354-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1354-2021Class IITerminatedVoluntary: Firm initiated