Recall Z-0169-2022

W L Gore & Associates, Inc. · initiated September 2, 2021

Class II Open, Classified

Class II – products that might cause a temporary health problem or pose a slight threat of a serious nature

Product

REF/Catalogue Number GSXE0030, GORE CARDIOFORM SEPTAL OCCLUDER 30 mm Diameter, Catheter Working Length 75 cm, Delivery Profile 10 Fr, STERILE EO, Rx Only, UDI: 00733132617661 *Not distributed within the US

Codes / lots: serial numbers 22689696 through 23569078

Reason for recall

Septal Occluders contain the incorrect expiration date. Product is labeled with a 3 yr. expiration date instead of 2 yrs.

FDA-determined cause: Software change control

Action taken

Gore initiated distribution of "Urgent Medical Device Recall" Notification to affected consignees between the dates of September 2, 2021 - September 21, 2021. The customer communication was distributed via Email and UPS. In addition, to informing consignees about the recall, Gore asked consignees to take the following actions: 1. Identify and return any unused devices within the scope of this voluntary recall. Return Authorization number can be found on the CUSTOMER RESPONSE FORM. 2. Please complete and sign the enclosed CUSTOMER RESPONSE FORM and return to WLGore3120@sedgwick.com within 3 weeks of receipt of this notification. 3. Please share this letter with others in your hospital or clinic as appropriate. 4. If a listed device has been used, there is no patient-follow up needed and there are no further actions needed other than informing Gore the device was used. Please indicate the used devices on the CUSTOMER RESPONSE FORM and return to WLGore3120@sedgwick.com within 3 weeks of receipt of this letter. No further action is needed. 5. Please contact your local Gore field sales associate with any questions regarding this notice, and to coordinate the return and replacement of any unused affected devices. Additionally, you may also contact Gore Customer Service (Email: MPDCustomerCare@wlgore.com; or by phone (U.S. toll free: (800) 528-8763)). 6. In the event that an adverse event occurs: Any adverse event involving the GORE CARDIOFORM Septal Occluder should be reported to the manufacturer and the country specific regulatory authorities immediately. To report an event to W. L. Gore & Associates, email: medcomplaints@wlgore.com or contact: USA: 800 528 1866 Ext. 44922 / 928 864 4922, Fax 928 864 4364 Healthcare professionals and consumers may report adverse events or quality problems directly to FDA using the FDA MedWatch Website: https://www.accessdata.fda.gov/scripts/medwatch/index.cfm

Details

Recall number
Z-0169-2022
Initiated
September 2, 2021
Product code
MLV – Transcatheter Septal Occluder
Quantity
846 units
Distribution
US: AL,AR, AZ, CA, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN,MO,MS,MT,NC, ND, NE, NH, NJ, NM,NV,NY,OH,OK,OR,PA,SC,SD,TN,TX,UT,VA,VT,WA,WI, WV OUS: AUS, AUT, CAN, CHE, DEU, DNK, ESP, FRA, GBR, GRC, IRL, ITA, MEX, NLD, NOR, PRT, SAU, SWE
Recalling firm
W L Gore & Associates, Inc., Flagstaff, AZ

Official FDA recall record

Other products in the same recall event

RecallProductInitiated
Z-0164-2022 Class IIREF/Catalogue Number GSX0030A, GORE CARDIOFORM SEPTAL OCCLUDER 30 mm Diameter, Catheter…Septal Occluders contain the incorrect expiration date. Product is labeled with a 3 yr. expiration date… 09/02/2021Open, Classified
Z-0165-2022 Class IIREF/Catalogue Number GSX0020A, GORE CARDIOFORM SEPTAL OCCLUDER 20 mm Diameter, Catheter…Septal Occluders contain the incorrect expiration date. Product is labeled with a 3 yr. expiration date… 09/02/2021Open, Classified
Z-0166-2022 Class IIREF/Catalogue Number GSX0025A, GORE CARDIOFORM SEPTAL OCCLUDER 25 mm Diameter, Catheter…Septal Occluders contain the incorrect expiration date. Product is labeled with a 3 yr. expiration date… 09/02/2021Open, Classified
Z-0167-2022 Class IIREF/Catalogue Number GSXE0020, GORE CARDIOFORM SEPTAL OCCLUDER 20 mm Diameter, Catheter…Septal Occluders contain the incorrect expiration date. Product is labeled with a 3 yr. expiration date… 09/02/2021Open, Classified
Z-0168-2022 Class IIREF/Catalogue Number GSXE0025, GORE CARDIOFORM SEPTAL OCCLUDER 25 mm Diameter, Catheter…Septal Occluders contain the incorrect expiration date. Product is labeled with a 3 yr. expiration date… 09/02/2021Open, Classified
Z-0170-2022 Class IIREF/Catalogue Number GSXE0025B, GORE CARDIOFORM SEPTAL OCCLUDER 25 mm Diameter, Catheter…Septal Occluders contain the incorrect expiration date. Product is labeled with a 3 yr. expiration date… 09/02/2021Open, Classified
Z-0171-2022 Class IIREF/Catalogue Number GSXE0030B, GORE CARDIOFORM SEPTAL OCCLUDER 30 mm Diameter, Catheter…Septal Occluders contain the incorrect expiration date. Product is labeled with a 3 yr. expiration date… 09/02/2021Open, Classified
Z-0172-2022 Class IIREF/Catalogue Number GSX0030H, GORE CARDIOFORM SEPTAL OCCLUDER 30 mm Diameter, Catheter…Septal Occluders contain the incorrect expiration date. Product is labeled with a 3 yr. expiration date… 09/02/2021Open, Classified