Arrow Pacing Catheter Kit-Bipolar Electrode Catheter 5 Fr. 110 cm, Product Code: AI-05210 - Product Usage: intended for temporary use in electrophysiology studies for intracardiac stimulation and/or ECG recording.
FDA Recall Z-2068-2021 · Posted None
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Recalling FirmArrow International Inc
Recall StatusOpen, Classified
Product CodeN/A
Date Initiated2021-05-19
Product Quantity48 units
Reason for Recall
Marketed without a 510K
Firm Action
Teleflex issued Urgent Medical Device Device Recall Letter (EIF-000470) on 19th May 2021 via FedEx 2-day mail. The letter states reason for recall, health risk and action to take:
Action list number 1 Medical facilities
1. We request that you check your inventory for product within the scope of this FSCA. Users should
cease use and distribution of impacted product and quarantine immediately.
2. If you do not have stock in scope of this FSCA mark the according checkbox on the
Acknowledgement Form (Appendix 1) and return the form to the fax number or e-Mail address
mentioned below.
3. If you do have stock in scope of this FSCA, complete the Acknowledgement Form (Appendix 1
and fax it to 1-855-419-8507, Attn: Customer Service or email to [email protected] . This will
allow us to document the amount of product you have on hand for return. A customer service
representative will contact you with a Return Goods Authorization (RGA) Number and will provide
instructions for the return of products to Teleflex Medical.
Action list number 2 Distributors
1. Provide this field safety notice to all customers who have received product in scope of this FSCA.
Your customer is then required to complete the acknowledgement form and return to you.
2. We request that you check your inventory for product within the scope of this FSCA. Cease use
lreleflex ARROW. 11-TERNATIONAL
and distribution of impacted product and quarantine immediately. You may then return all product
in scope.
3. As a distributor, you are then required to confirm to Teleflex that you have completed the field
activity outlined above. Upon completion of your actions, please forward the completed
Acknowledgement Form to Customer Service.
4. If you have further distributed product outside of your country, please notify Teleflex by return email to the e-Mail address below
Customer Service:
Contact: Customer Service Telephone: 1-866-396-2111
FAX: 1-855-419-8507 Email: [email protected]
Root Cause
No Marketing Application
Distribution Pattern
US Nationwide distribution in the states of FL, ID, IL, NY, OH, TX.
Official Source
View FDA Recall →Source: FDA Enforcement Report / Recall database. Always confirm against the official FDA record.
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