inforMED
MalfunctionDTS

DLP LEFT HEART VENT CATHETERS

Received Jan 22, 2026 · Event occurred Apr 1, 2025

Report 2184009-2026-00139 · MDR key 24143323

Device

Generic name

Sucker, Cardiotomy Return, Cardiopulmonary Byp

Manufacturer

Perfusion Systems

Model number

12008

Catalog number

12008

Lot number

2024090224

Product problems

  • Delivered as Unsterile Product

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THIS REGULATORY REPORT IS BEING SUBMITTED AS PART OF A RETROSPECTIVE REVIEW AND REMEDIATION AS PART OF A CAPA ACTION. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem

MEDTRONIC RECEIVED INFORMATION THAT PRIOR TO USE OF A DLP LEFT HEART VENT CATHETER, IT WAS REPORTED THAT THE OUTER PACKAGING WAS DAMAGED. THE DEVICE WAS REPLACED. THERE WAS NO PATIENT INVOLVEMENT, SO NO ADVERSE EFFECT OCCURRED. MEDTRONIC RECEIVED ADDITIONAL INFORMATION THAT THERE ARE NO MISSING OR INCORRECT DEVICES OR COMPONENTS IN THE PACKAGING. THE STERILE SEAL WAS NOT INTACT DUE TO DAMAGED PACKAGING. THE DEVICE WAS NOT SEALED WITHIN THE SEAL.