Z-0156-2015Class II

Terumo Custom Cardioplegia Delivery Set - Heat Exchanger Cardiopulmonary Bypass Item Numbers: 5852, 16010

Name: Z-0156-2015 Terumo Custom Cardioplegia Delivery Set - Heat Exchanger Cardiopulmonary Bypass Item Numbers: 5852, 16010
Creator: Terumo Cardiovascular Systems Corp
Published: 2011-03-01
License: https://open.fda.gov/license/

Terumo Cardiovascular Systems Corporation / initiated 2011-03-01 / Terminated / root cause: design

FDA source

Terumo Cardiovascular Systems Corp began a recall of Terumo Custom Cardioplegia Delivery Set - Heat Exchanger Cardiopulmonary Bypass Item Numbers: 5852, 16010 Product Usage: This is a Cardioplegia Delivery System... on 2011-03-01. FDA classified it as Class II and gives the reason as "Defect in the luer connector can compromise the seal on the female side of the connector and the compromised seal can introduce air in the table line". As of 2026-09-10, the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number: Z-0156-2015
Classification: Class II
Status: Terminated
Initiated: 2011-03-01
Posted: 2014-10-31
Terminated: 2014-11-06
Recalling firm: Terumo Cardiovascular Systems Corporation
Product: Terumo Custom Cardioplegia Delivery Set - Heat Exchanger Cardiopulmonary Bypass Item Numbers: 5852, 16010 Product Usage: This is a Cardioplegia Delivery System that is designed to delivery blood/solution to the patient undergoing cardiopulmonary bypass surgery. The set is designed to deliver blood/solutions at a 4:1 ratio. In includes a Conducer Heat Exchanger and a Bubble Trap module. Additionally, the set is constructed with a female luer connector that is the subject of the correction/removal activity
Product code: DTR Heat-Exchanger, Cardiopulmonary Bypass
Reason for recall: Defect in the luer connector can compromise the seal on the female side of the connector and the compromised seal can introduce air in the table line
Root cause tag: design
FDA root cause: Device Design
Action: Terumo Cardiovascualr notified accounts by letter dated 3/1/2011 advising users users that the luer connector to the table line in certain lots of myocardial protection sets may leak. Users should not continue to use affected myocardial protection sets in a manner that exposes the connector to negative pressure without taking correction or replacement activities as described. Firm provided mitigating instructions: Clamp the table line distal to the luer connector when ending an infusion of cardioplegia thus isolating the leak from negative pressure. Contact Terumo CVS Customer Service to report the defect and arrange return of the unit: 800-521-2818.
Quantity in commerce: 596 units; 876 units
Distribution: Worldwide Distribution: US (nationwide) and the countries of Canada, Brazil, Hong Kong, Korea, and Thailand.
Product codes and lots: Item Number: 58520-Lot Numbers: MF24, MM11, MN01. Manufacturing dates May 24, 20 I 0 through November I, 2010 Item Number: 1610-Lot Numbers: MM11, MN08, MNI5, MN29 MP07. Manufacturing dates October 11, 20 I 0 through December 7, 20 I 0

Enforcement reports

One row per recalled product line

FDA enforcement reports joined to recall event Z-0156-2015
Recall number	Class	Status	Voluntary or mandated	Report date	Classified
Z-0156-2015	Class II	Terminated	Voluntary: Firm initiated	2014-11-12	2014-10-31
Z-0157-2015	Class II	Terminated	Voluntary: Firm initiated	2014-11-12	2014-10-31
Z-0158-2015	Class II	Terminated	Voluntary: Firm initiated	2014-11-12	2014-10-31
Z-0159-2015	Class II	Terminated	Voluntary: Firm initiated	2014-11-12	2014-10-31
Z-0160-2015	Class II	Terminated	Voluntary: Firm initiated	2014-11-12	2014-10-31
Z-0161-2015	Class II	Terminated	Voluntary: Firm initiated	2014-11-12	2014-10-31

Product code DTR

K900640Class IIModified Mp-4 Cardioplegia Delivery System W/condu3M Company / cleared 1990-04-20

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)