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Extracorporeal Circuit with Bio-Active Surface

by Medtronic Blood Systems, Inc.

510(k) K891687

Active United States

510(k)

Valid until

No expiry

510(k) clearance is not time-limited

FDA recalls

None ongoing

10 closed

Documents

Trust

Unverified

Registry data, not yet checked by deviCERTS. Source FDA 510(k), synced 22 Oct 2026. What this means

Regulatory status

as of registry sync 22 Oct 2026

RegionAuthorizationNumberDateStatus
United StatesFDA 510(k)SESE Substantially Equivalent · Traditional NumberK891687 Date31 May 1989ClearedStatusActive

Recalls

10 recalls · FDA

    • Terminated Z-2495-2020 FDA Class II initiated 8 Aug 2018

    Affected products failed a sterilization test.

    • Terminated Z-1023-2016 FDA Class III initiated 4 Feb 2016 on shared 510(k) K891687

    Medtronic is notifying customers who have or may receive specific lots of Medtronic Perfusion Tubing Packs that include the potentially affected cuvettes manufactured by Terumo Cardiovascular Systems (Terumo CVS). Terumo Cardiovascular Systems (Terumo CVS) has distributed an Urgent Safety Alert regarding the CD I H/S Cuvette. The cuvette is packaged into Medtronic Perfusion Tubing Packs and only sold as part of the pack.

    • Terminated Z-2736-2015 FDA Class II initiated 18 Aug 2015 on shared 510(k) K891687

    Hemocor High Performance Hemoconcentrators demonstrate low ultrafiltration performance that is below product specification. These potentially affected units have been distributed as stand-alone devices and in specific lots of Medtronic Perfusion Tubing packs.

    • Terminated Z-2105-2013 FDA Class II initiated 17 Jul 2013

    Medtronic was notified that Edwards Lifesciences has initiated a product recall for the Rigid Suction Wand, model S099B. The Wands are included within certain Perfusion Tubing Packs that are manufactured and distributed by Medtronic.

    • Terminated Z-0618-2013 FDA Class II initiated 19 Nov 2012 on shared 510(k) K891687

    Medtronic is initiating an Urgent Medical Device Customer Notification. We have confirmed that certain Medtronic Intersept Tubing Packs contain packaging trays that are susceptible to damage that can compromise product sterility.

    • Terminated Z-0813-2012 FDA Unclassified (pre-2012) initiated 14 Dec 2011

    Instructions for Use for the DLP Single Stage Venous Cannulae are in the process of being updated. The current precaution statement referencing ventricular assist procedures will be identified as a contraindication in the updated Instructions for Use. DO NOT USE THIS PRODUCT FOR EXTENDED TERMS SUCH AS VENTRICULAR ASSIST PROCEDURES. Medtronic has received two reports of patient deaths due to p

    • Terminated Z-1920-2008 FDA Unclassified (pre-2012) initiated 9 May 2008

    Medtronic is recalling selected Carmeda-coated cardiopulmonary bypass (CPB) products (e.g., oxygenators, reservoirs, pumps, cannulae and tubing packs) that were manufactured with contaminated heparin. Medtronic's heparin supplier recently reported that it had provided some batches to Medtronic that were contaminated with oversulfated chondroitin sulfate (OSCS).

    • Terminated Z-1227-2007 FDA Unclassified (pre-2012) initiated 1 Aug 2007 on shared 510(k) K891687

    Medtronic Custom Tubing Packs might have open header bag seals.

    • Terminated Z-0583-2007 FDA Unclassified (pre-2012) initiated 2 Jan 2007 on shared 510(k) K891687

    One lot of Custom Perfusion Sets, Catalog 2T10R1 was incorrectly assembled. The one way vacuum relief valve on the 102 inch line is attached backwards, thus preventing flow.

    • Terminated Z-1489-04 FDA Unclassified (pre-2012) initiated 15 Sep 2004 on shared 510(k) K891687

    Spiral tip from DLP VAD cannula may be loose and potentially detach during use.

Recalls on a shared submission name another device cleared under the same FDA submission as this one.

Coverage

1 jurisdiction

United States of America
  • Active
  • Expiring
  • Withdrawn
  • Listed
  • Not covered

United States — FDA 510(k) Active

Specification

510(k)

510(k) Number
FDA Product Code
DTZ
Device Class
Class II
Regulation
21 CFR Part 870.4350
Advisory Committee
Cardiovascular
FDA Decision
SESE Substantially Equivalent

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