Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1367-2008

Gambro cartridge blood tubing set used with Gambro Dasco Phoenix and Cobe Centrysystem 3 (and 3+)...

Gambro Renal Products / initiated 2007-09-10 / Terminated / root cause: design

Gambro Renal Products, Inc. began a recall of Gambro cartridge blood tubing set used with Gambro Dasco Phoenix and Cobe Centrysystem 3 (and 3+) Hemodialysis System, Gambro, Lakewood, CO 80401 on . The reason FDA records is "Kinked tubing on hemodialysis device may cause hemolysis". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-1367-2008
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Gambro Renal Products
Product
Gambro cartridge blood tubing set used with Gambro Dasco Phoenix and Cobe Centrysystem 3 (and 3+) Hemodialysis System, Gambro, Lakewood, CO 80401
Product code
KDI Dialyzer, High Permeability With Or Without Sealed Dialysate System
Reason for recall
Kinked tubing on hemodialysis device may cause hemolysis.
Root cause tag
design
FDA root cause
Device Design
Action
On September 10, 2007, the firm sent an Advisory Notice to all consignees alerting them that a kink in the tubing can result in physical hemolysis. The firm included with the Notice a Quick Reference Guide that provides drawing of the proper installation of the Phoenix and describes how to prevent bloodline kinking. A customer reply form was also included. The firm is in the process of making labeling changes that will be released with the updated software revisions.
Quantity in commerce
41,000,000
Distribution
Nationwide, including 17 VA facilities and 1 military facility. Foreign distribution to Canada, Korea, Mexico.
Product codes and lots
All catalog numbers involving the Gambro Cartridge Blood Sets: 003409-400, 003409-410, 003410-500, 003410-510, 004310-710, 003411-500, 003412-500, 003414-500, 003414-510, 003415-510, 003422-500, 003422-515, 003422-520, 003429-500.