Z-0626-2022Class I

Arrow-Trerotola Over-The-Wire PTD Kit, Percutaneous Thrombolytic Device, REF PT-65709-WC containing...

Name: Z-0626-2022 Arrow-Trerotola Over-The-Wire PTD Kit, Percutaneous Thrombolytic Device, REF PT-65709-WC containing...
Creator: Teleflex Medical Inc
Published: 2022-01-11
License: https://open.fda.gov/license/

Teleflex Medical / initiated 2022-01-11 / Terminated

FDA source

TELEFLEX MEDICAL INC began a recall of Arrow-Trerotola Over-The-Wire PTD Kit, Percutaneous Thrombolytic Device, REF PT-65709-WC containing components: PT-65709-C, PT-03009, PT-65709-HS The... on 2022-01-11. FDA classified it as Class I and gives the reason as "The firm received reports indicating PTD tip separation during use". As of 2026-09-10, the recall status on record is Terminated.

Recall record

Recall number: Z-0626-2022
Classification: Class I
Status: Terminated
Initiated: 2022-01-11
Posted: 2022-02-15
Terminated: 2024-09-11
Recalling firm: Teleflex Medical
Product: Arrow-Trerotola Over-The-Wire PTD Kit, Percutaneous Thrombolytic Device, REF PT-65709-WC containing components: PT-65709-C, PT-03009, PT-65709-HS The Arrow-Trerotola Percutaneous Thrombolytic Device (PTD) Catheter, in conjunction with the Arrow Rotator Drive Unit, permits mechanical declotting of native arterio-venous (AV) fistulae and synthetic dialysis grafts.
Product code: QEW Peripheral Mechanical Thrombectomy With Aspiration
Reason for recall: The firm received reports indicating PTD tip separation during use.
FDA root cause: Process change control
Action: Arrow International LLC/Teleflex notified their consignees by letter on 01/11/2022. The letter explained the issue and requested that the consignee cease use and distribution. Distributors were directed to notify their customers. The firm is seeking return of the affected product. The following instructions were provided: Action list number 1 Medical facilities 1. We request that you check your inventory for product within the scope of this FSCA. Users should cease use and distribution of impacted product and quarantine immediately. 2. If you do not have stock in scope of this FSCA mark the according checkbox on the Acknowledgement Form (Appendix 1) and return the form to the fax number or e-mail address mentioned below. 3. If you do have stock in scope of this FSCA, complete the Acknowledgement Form (Appendix 1) and fax it to 1-855-419-8507, Attn: Customer Service or e-mail to [email protected]. This will allow us to document the amount of product you have on hand for return. A customer service representative will contact you with a Return Goods Authorization (RGA) Number and will provide instructions for the return of products to Teleflex Medical. Action list number 2 Distributors 1. Provide this field safety notice to all customers who have received product in scope of this FSCA. Your customer is then required to complete the Acknowledgement Form and return to you. 2. We request that you check your inventory for product within the scope of this FSCA. Cease use and distribution of impacted product and quarantine immediately. You may then return all product in scope to Teleflex. 3. As a distributor, you are then required to confirm to Teleflex that you have completed the field activity outlined above. Upon completion of your actions, please forward the completed Acknowledgement Form to Customer Service. Important - Please ensure you only list batch numbers in scope of this Field Safety Notice when completing this form. 4. If you have further distr
Quantity in commerce: 1874 units
Distribution: Worldwide distribution: US Nationwide and the countries of AU, BE, CA, CL, CZ, DE, ES, FR, GB, IL, IT, KR, KW, NL, PA, PH, PT, SA, TR.
Product codes and lots: Lot Number / UDI: 13F20C0596 / (01)10801902121308 (17)220331 (10)13F20C0596, Components: Code PT-65709-C, Lot number 13C20C2082; Code PT-65709-HS, Lot number 14C20C1417; Code PT-03009, Lot number 13C20B1435; Code PT-03009, Lot number 13C19M0278; Code PT-03009, Lot number 13C19L0622; Code PT-03009, Lot number 13C20C1558; Lot Number / UDI: 13F20F0081 / (01)10801902121308 (17)220531 (10)13F20F0081, Components: Code PT-65709-C, Lot number 13C20F0572; Code PT-65709-C, Lot number 13C20C2082; Code PT-65709-HS, Lot number 14C20C0866; Code PT-65709-HS, Lot number 14C19K1035; Code PT-03009, Lot number 13C20C1558; Lot Number / UDI: 13F20F0229 / (01)10801902121308 (17)220531 (10)13F20F0229, Components: Code PT-65709-C, Lot number 13C20F0572; Code PT-65709-HS, Lot number 14C20C0866; Code PT-03009, Lot number 13C20F0570; Code PT-03009, Lot number 13C20C1558; Lot Number / UDI: 13F20F0509 / (01)10801902121308 (17)220531 (10)13F20F0509, Components: Code PT-65709-C, Lot number 13C20F1139; Code PT-65709-HS, Lot number 14C20C0866; Code PT-65709-HS, Lot number 14C20C1417; Code PT-03009, Lot number 13C20F0570; Lot Number / UDI: 13F20F0578 / (01)10801902121308 (17)220630 (10)13F20F0578, Components: Code PT-65709-C, Lot number 13C20F2175; Code PT-65709-HS, Lot number 14C20D1061; Code PT-65709-HS, Lot number 14C20C0866; Code PT-03009, Lot number 13C20F2585; Code PT-03009, Lot number 13C20F1138; Lot Number / UDI: 13F20G0177 / (01)10801902121308 (17)220630 (10)13F20G0177, Components: Code PT-65709-C, Lot number 13C20G0228; Code PT-65709-HS, Lot number 14C20D1061; Code PT-03009, Lot number 13C20F2585; Code PT-03009, Lot number 13C20G0238 Lot Number / UDI: 13F20G0566 / (01)10801902121308 (17)220630 (10)13F20G0566, Components: Code PT-65709-C, Lot number 13C20G1199; Code PT-65709-HS, Lot number 14C20D1061; Code PT-03009, Lot number 13C20G0864; Code PT-03009, Lot number 13C20G0238; Code PT-03009, Lot number 13C20F2585; Lot Number / UDI: 13F20H0531 / (01)10801902121308 (17)220831 (10)13F20H0531, Components: Code PT-65709-C, Lot number 13C20G1976; Code PT-65709-C, Lot number 13C20G1199; Code PT-65709-HS, Lot number 14C20G0395; Code PT-03009, Lot number 13C20G1198; Code PT-03009, Lot number 13C20G0864; Lot Number / UDI: 13F20J0379 / (01)10801902121308 (17)220831 (10)13F20J0379, Components: Code PT-65709-C, Lot number 13C20G1976; Code PT-65709-C, Lot number 13C20G1199; Code PT-65709-HS, Lot number 14C20H0384; Code PT-03009, Lot number 13C20H0604; Lot Number / UDI: 13F20L0514 / (01)10801902121308 (17)221031 (10)13F20L0514, Components: Code PT-65709-C, Lot number 13C20J2689; Code PT-65709-HS, Lot number 14C20H0384; Code PT-65709-HS, Lot number 14C20J1453; Code PT-03009, Lot number 13C20L0871; Code PT-03009, Lot number 13C20L0872; Lot Number / UDI: 13F21A0354 / (01)10801902121308 (17)221231 (10)13F21A0354, Components: Code PT-65709-C, Lot number 13C20M0639; Code PT-65709-HS, Lot number 14C20J1453; Code PT-03009, Lot number 13C20M0144; Lot Number / UDI: 13F21C0081 / (01)10801902121308 (17)230228 (10)13F21C0081, Components: Code PT-65709-C, Lot number 13C21A1348; Code PT-65709-HS, Lot number 14C20J1453; Code PT-03009, Lot number 13C21B1533; Code PT-03009, Lot number 13C21A0855; Lot Number / UDI: 13F21C0749 / (01)10801902121308 (17)230331 (10)13F21C0749, Components: Code PT-65709-C, Lot number 13C21C1696; Code PT-65709-HS, Lot number 14C21B0690; Code PT-65709-HS, Lot number 13C21C1696; Code PT-03009, Lot number 13C21C0327; Code PT-03009, Lot number 13C21B1533; Lot Number / UDI: 13F21D0870 / (01)10801902121308 (17)230430 (10)13F21D0870, Components: Code PT-65709-C, Lot number 13C21D0717; Code PT-65709-C, Lot number 13C21C1696; Code PT-65709-HS, Lot number 14C21B0690; Code PT-65709-HS, Lot number 14C20J1453; Code PT-03009, Lot number 13C21C0327; Lot Number / UDI: 13F21E0415 / (01)10801902121308 (17)230430 (10)13F21E0415, Components: Code PT-65709-C, Lot number 13C21C2412; Code PT-65709-C, Lot number 13C21D0717; Code PT-65709-C, Lot number 13C21C1696; Code PT-65709-HS, Lot number 14C21C0476; Code PT-65709-HS, Lot number 14C21B0690; Code PT-03009, Lot number 13C21C2397; Code PT-03009, Lot number 13C21C2413; Code PT-03009, Lot number 13C21C0327; Code PT-03009, Lot number 13C21B1533; Lot Number / UDI: 13F21F1188 / (01)10801902121308 (17)230630 (10)13F21F1188, Components: Code PT-65709-C, Lot number 13C21E0328; Code PT-65709-C, Lot number 13C21E1991; Code PT-65709-HS, Lot number 14C21D0635; Code PT-65709-HS, Lot number 14C21C0476; Code PT-03009, Lot number 13C21C2413; Code PT-03009, Lot number 13C21E0722

Enforcement reports

One row per recalled product line

FDA enforcement reports joined to recall event Z-0626-2022
Recall number	Class	Status	Voluntary or mandated	Report date	Classified
Z-0623-2022	Class I	Terminated	Voluntary: Firm initiated	2022-02-23	2022-02-15
Z-0624-2022	Class I	Terminated	Voluntary: Firm initiated	2022-02-23	2022-02-15
Z-0625-2022	Class I	Terminated	Voluntary: Firm initiated	2022-02-23	2022-02-15
Z-0626-2022	Class I	Terminated	Voluntary: Firm initiated	2022-02-23	2022-02-15
Z-0627-2022	Class I	Terminated	Voluntary: Firm initiated	2022-02-23	2022-02-15
Z-0628-2022	Class I	Terminated	Voluntary: Firm initiated	2022-02-23	2022-02-15
Z-0629-2022	Class I	Terminated	Voluntary: Firm initiated	2022-02-23	2022-02-15

Product code QEW

K011056Class IIArrow-Trerotola Percutaneous Thrombolytic Device or PtdArrow Intl., Inc. / cleared 2001-10-24

MDM coverage of this record lists here, newest first.

About this record

Sourced from the FDA device recall database and the FDA enforcement reports, both ingested from openFDA. The recall record supplies the product, the reason and the product code; the enforcement report supplies the classification. The two datasets are exported by FDA on different days, and the date above is the older of the two, so nothing on this page is newer than it says.

MDM adds the root cause tag, derived from FDA’s own root cause text, and the cross-links to the product code, the clearances named on the record and MDM coverage. Where a recall has not been joined to an enforcement report, no classification is shown.

Data as of 2026-09-30, the FDA export date for this dataset. Page last changed 2026-09-05. View this recall on fda.gov (opens on fda.gov)