Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0111-06

Lysus Infusion System - Lysus Drug Delivery Catheter: The Lysus Infusion System employs high frequency (2-2.5...

EKOS Corporation / initiated 2004-11-22 / Terminated

Ekos Corp began a recall of Lysus Infusion System - Lysus Drug Delivery Catheter: The Lysus Infusion System employs high frequency (2-2.5 MHz), low power (0.45 watt average power per... on . The reason FDA records is "During two separate procedures, the user experienced difficulty placing the EKOS ultrasound core (USC) into the EKOS drug delivery catheter (DDC) when transiting tight bend radii; specifically the aortic bifurcation. In...". As of , the recall status on record is Terminated.

Recall record

Recall number
Z-0111-06
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
EKOS Corporation
Product
Lysus Infusion System - Lysus Drug Delivery Catheter: The Lysus Infusion System employs high frequency (2-2.5 MHz), low power (0.45 watt average power per transducer) ultrasound to facilitate the delivery of physician-specified fluids in the peripheral vasculature. (This system is also called the UltraFlo and EKOS Peripheral Infusion System in internal documents.) The Lysus Infusion System consists of three main components, a single use Lysus Infusion Catheter System which is comprised of a Drug Delivery Catheter (DDC) and removable Ultrasound Core (USC), and a reusable EKOS PT-3 Control System. During use, fluids are delivered through the side-holes of the DDC. The USC is placed through the central lumen of the DDC to deliver ultrasound energy along the length of fluid delivery, dispersing the fluid into the intravascular treatment site. The reusable EKOS PT-3 Control Unit provides power to the system and the user interface for operator control. A reusable, non-sterile Catheter Interface Cable with Pod connects the EKOS PT-3 Control Unit to the Lysus Infusion Catheter System.
Product code
KRA Catheter, Continuous Flush
Reason for recall
During two separate procedures, the user experienced difficulty placing the EKOS ultrasound core (USC) into the EKOS drug delivery catheter (DDC) when transiting tight bend radii; specifically the aortic bifurcation. In one case, the USC fractured within the DDC when the user attempted to withdraw the USC after resistance was encountered
FDA root cause
Other
Action
On 11/22/04 the firm issued letters to those customers that had product. The letters advised of the problem and provided amended use instructions.The firm continued to ship product and on 3/10/05 the firm visited consignees, replacing the catheters.
Quantity in commerce
134 kits
Distribution
Kits were distributed to 6 hospitals in the US, 1 each located in AZ, OH, WA, FL, IL, and CA. The firm also distributed to a customer in Germany.
Product codes and lots
Serial #s 040914006-004, 040914006-008, 040914007-006, 040914008-003, 040928003-002, 040928003-005, 040928003-009, 040928004-002, 040928005-004, 040928006-002, 040928006-003, 040928006-006, 041013005-004, 040702005-007, 040702005-008, 040719001-005, 040719001-006, 040913002-001, 040913002-002, 040913002-003, 040914007-002, 040914010-001, 040928004-005, 041013006-014, 040928003-012, 040928003-013, 041013005-006, 041013005-007, 041013006-011, 041013006-017, 040719002-003, 040322001-003, 040322001-006, 040322001-013, 040420001-001, 040420001-002, 040420001-004, 040420001-005, 040420001-006, 040420001-007, 040420001-008, 040420001-009, 040420001-010, 040420001-011, 040702005-001, 040702005-002, 040702006-001, 040702006-002, 040928004-004, 040928005-002, 040928005-005, 040928006-004, 040928006-005, 040702005-003, 040702005-004, 040702006-003, 040702006-004, 040719001-001, 040719001-002, 040719002-002, 040719003-001, 040719003-002, 040914007-005, 040914008-002, 040914009-003, 040928004-001, 040928006-009, 040928006-010, 040928007-002, 040702005-005, 040702005-006, 040702006-005, 040719001-003, 040719001-004, 040909003-001, 040909003-002, 040913002-004, 040913002-005, 040914006-007, 040914007-003, 040914007-004, 040914009-004, 040928003-001, 040928004-008, 040928005-006, 040928006-001, 040928007-001, 041013005-005, 041013006-012, 041013006-013, 041119002-001, 041119003-001, 040719001-007, 040914006-003, 040914007-001, 040914008-001, 040914009-001, 040928003-010, 040928004-006, 040928004-007, 041013004-001, 041013004-002, 041013004-003, 041013006-008, 041013006-015, 040420001-003, 040719001-008, 040719002-001, 040914006-001, 040914006-005, 040914006-006, 040914006-009, 040914006-010, 040914008-004, 040928003-003, 040928003-004, 040928003-011, 040928003-014, 040928004-003, 040928005-007, 040928005-008, 041013006-009, 041013006-016, 041013006-018, 050204002-001, 050204002-002, 050204002-003, 050204002-004, 050204002-005, 050209002-001, 050209002-002, 050209002-003, 050209002-004, 050209002-005   Catalog # & Part #: 500-52112, 3383-002; 500-52124, 3393-004; 500-52124, 3393-006; 500-52150, 3393-007