Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0158-2015Class II

Terumo Cardioplegia Delivery Set- Item Number: 16130

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

Terumo Cardiovascular Systems Corp began a recall of Terumo Cardioplegia Delivery Set- Item Number: 16130 Product Usage: The Cardioplegia Delivery Sets are indicated for delivery of cardioplegic solutions to the... on . 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 , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0158-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Terumo Cardiovascular Systems Corporation
Product
Terumo Cardioplegia Delivery Set- Item Number: 16130 Product Usage: The Cardioplegia Delivery Sets are indicated for delivery of cardioplegic solutions to the heart during cardiopulmonary bypass surgery.
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
777 units
Distribution
Worldwide Distribution: US (nationwide) and the countries of Canada, Brazil, Hong Kong, Korea, and Thailand.
Product codes and lots
Lot Numbers: MN08, MNI5, MM11, MM18, MM25.  Manufacturing dates October 1I, 2010 through Novemberl5, 20 I 0.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0158-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0156-2015Class IITerminatedVoluntary: Firm initiated
Z-0157-2015Class IITerminatedVoluntary: Firm initiated
Z-0158-2015Class IITerminatedVoluntary: Firm initiated
Z-0159-2015Class IITerminatedVoluntary: Firm initiated
Z-0160-2015Class IITerminatedVoluntary: Firm initiated
Z-0161-2015Class IITerminatedVoluntary: Firm initiated