Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2340-2021Class II

Gore Molding & Occlusion Balloon Catheter, REF Catalogue Number MOB37, SN XXXXXXXX, 10 mm - 37 m 10 Fr...

W. L. Gore & Associates, Inc. / initiated 2021-07-12 / Open, Classified

W. L. Gore & Associates Inc. began a recall of Gore Molding & Occlusion Balloon Catheter, REF Catalogue Number MOB37, SN XXXXXXXX, 10 mm - 37 m 10 Fr, Guidewire Compatibility 0.035", STERILE EO, CE2797... on . FDA classified it as Class II and gives the reason as "Complaints received concerning Balloon Catheter leakage from the guidewire lumen and the y-hub during preparation resulting in either insufficient inflation or an inability to inflate". As of , the recall status on record is Open, Classified.

Recall record

Recall number
Z-2340-2021
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
W. L. Gore & Associates, Inc.
Product
Gore Molding & Occlusion Balloon Catheter, REF Catalogue Number MOB37, SN XXXXXXXX, 10 mm - 37 m 10 Fr, Guidewire Compatibility 0.035", STERILE EO, CE2797, UDI: (00)733132639489
Product code
MJN Catheter, Intravascular Occluding, Temporary
Reason for recall
Complaints received concerning Balloon Catheter leakage from the guidewire lumen and the y-hub during preparation resulting in either insufficient inflation or an inability to inflate.
FDA root cause
Process change control
Action
On July 23, 2021 issue a "Urgent Medical Device Recall" notification to affected consignees via UPS. In addition to informing consignees about the recall the customer notification ask consignees to take the following actions: 1. Identify and return any unused devices within the scope of this voluntary recall. 2. Please complete and sign the enclosed CUSTOMER RESPONSE FORM and return to [email protected] within 2 weeks of receipt of this notification. 3. Please share this letter with others in your hospital or clinic as appropriate. 4. If a listed device has been used, there is no patient-follow up needed and there are no further actions needed other than informing Gore the device was used. Please indicate the used devices on the CUSTOMER RESPONSE FORM and return to [email protected] within 2 weeks of receipt of this letter. No further action is needed.
Quantity in commerce
3,364 units
Distribution
Worldwide distribution - US Nationwide distribution including in the states of AL, AR, AZ, CA, CO, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WI, WV, WY and the countries of AUS, CAN, CHE, DEU, DNK, ESP, FIN, FRA, GBR, GRC, HRV, HUN, IRL, ISR, ITA, JPN, MEX, NLD, NOR, POL, PRT, SMR, SWE.
Product codes and lots
Serial Numbers between 22982051 - 23516741

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2340-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2340-2021Class IIOngoingVoluntary: Firm initiated