Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0417-2009

Dual Port Wizard Low Profile Replacement Gastrostomy Device, Code 00201W, 16F, 1.7cm, 10cc, Sterile EO, Bard...

Bard Access Systems, Inc. / initiated 2008-09-23 / Terminated / root cause: design

C R Bard Inc began a recall of Dual Port Wizard Low Profile Replacement Gastrostomy Device, Code 00201W, 16F, 1.7cm, 10cc, Sterile EO, Bard Access Systems, Inc., Salt Lake City, UT 84116... on . The reason FDA records is "Gastrostomy device anti-reflux valve may allow leakage from the stomach". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0417-2009
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Bard Access Systems, Inc.
Product
Dual Port Wizard Low Profile Replacement Gastrostomy Device, Code 00201W, 16F, 1.7cm, 10cc, Sterile EO, Bard Access Systems, Inc., Salt Lake City, UT 84116. Dual Port Wizard Low Profile Replacement Gastrostomy Device is a silicone low-profile balloon-type device designed for percutaneous insertion through an established, appropriately sized stoma tract. The Dual Port Wizard Device is packaged in a kit which also includes two tubes, two gauze pads, and a syringe. The Wizard anti-reflux valve is a component of the Dual Port Wizard Gastrostomy Device. The inserted device is used for enteral feeding.
Product code
KNT Tubes, Gastrointestinal (And Accessories)
Reason for recall
Gastrostomy device anti-reflux valve may allow leakage from the stomach.
Root cause tag
design
FDA root cause
Component design/selection
Action
Customers notified by letter (Product Field Action letter) on September 23, 2008 and instructed to remove and return any affected product to Bard Access Systems, Inc (BAS). Customers were instructed in the recall letter to respond by completing and faxing the enclosed Reply Form and Inventory Reconciliation Form. For assistance, contact BAS customer service at 800-290-1689.
Quantity in commerce
1881 units
Distribution
Worldwide Distribution including US, Latin America and countries of Canada, Japan, Finland, Norway, Sweden, Austria, Belgium, Holland, Great Britain, Italy, France, Switzerland, Spain, Germany.
Product codes and lots
43AOA019,  43LNA053,  43AOA042,  43LOA024,  43APA033,  43LPA008,  43ARAOO2,  43LQAO29,  HURA1265,  43BOA016,  HURB2526,  43BOA038,  HURB4356,  43BQA043,  HURB4357,  43COA014,  HURD1917,  43COA037,  HURF0484,  43DOA011,  HURG1445,  HURH1079,  HURJ0002,  43DOA038,  43DOA203,  43DPA015,  HURJ0595,  43DPA044,  HURJ1549,  43DPA204,  HURK1491,  43DPA205,  HURB2425,  43DQA064,  HURB4421,  43EOA014,  HURD1916,  43EOA042,  HURE2890,  43EPA014,  HURF0485,  43EPAO41,  HURH0242,  43EPA209,  HURH1080,  43EPA216,  HURJ1557,  43EQA009,  43FOA077,  43FOA108,  43GOA034, 43GPA179R,  43GPA180R,  43GQA001,  43GQA032,  43HPA019R, 43HPA192,  43HPA225R,  43HQA001,  43HQA165,  43INA032,  43IOA039,  43IPAO18,  43IPA041,  43IPA199R,  43IQA002,  43JNA002,  43JNA045,  43JNA204,  43JOA015,  43JPA014,  43JPA037,  43JQA001,  43JQA027,  43KPA014,  43KQA001,  43KQA027, and  43LNA023.