Blue Rhino G2-Multi Percutaneous Tracheostomy Introducer Tray, Reference Part Numbers C-PTISYJ-100-HC-G-EU-FLEX8.5 (G57725), C-PTISYJ-100-HC-G-NA-FLEX7.5 (G57720), C-PTISYJ-100-HC-G-NA-FLEX8.5 (G57721), C-PTISY-100-HC-G-NA-FLEX8.5 (G57717), C-PTISY-100-HC-G-NA-FLEX7.5 (G57716)
- Company
- Cook Incorporated
- Recall Initiated
- April 7, 2023
- Posted
- May 10, 2023
- Recall Number
- Z-1428-2023
- Quantity
- 25,161 units
- Firm Location
- Bloomington, IN
Reason for Recall
There were reports from customers that the tracheostomy in the sets and trays is not making a secure connection with the 15mm cap and other 15mm circuit components and accessories. This resulted in an unsecure connection between the device connector and circuit components, cap, or accessories.
Distribution
Worldwide distribution - US Nationwide.
Lot / Code Info
C-PTISYJ-100-HC-G-EU-FLEX8.5 (G57725): UDI-DI 00827002577251, Lot Numbers 14351912, 14345668; C-PTISYJ-100-HC-G-NA-FLEX7.5 (G57720): UDI-DI 00827002577206, Lot Numbers 14210437, 14244442, 14227741, 14210440, 14244446, 14227742, 14229768, 14261042, 14270295, 14307644, 14270297, NS14266221, 14327007, 14327004, 14345700, 14351916, 14365704, 14365703, 14351915, 14385191, 14365704, 14365703; C-PTISYJ-100-HC-G-NA-FLEX8.5 (G57721): UDI-DI 00827002577213, Lot Numbers 14705461, 14244431, 14288336, 14288338, 14288337, 14288340, 14342930, 14365698, 14342928, 14365702, 14365697, 14342932, 14342926, 14446938, 14446936, 14342931, 14705460, 14288336, 14288337; C-PTISY-100-HC-G-NA-FLEX8.5 (G57717): UDI-DI 00827002577176, Lot Numbers 15065444, 15105535, 15085585, 15049864, 15065462, 15105517, 14984774, 15137049, 15065458, 15137047, 15137038, 15085578, 15137052, 15085588, 15148020, 15137043, 15085580, 15137032, 15065443, 15148022, 15137039, 15065442, 15085576, 15122458, 15026744, 15049860, 15137046, 14984768, 15065453, 15085589, 15065447, 15105529, 15122467, 15049872, 15065459, 15137041, 15137053, 15137042, 15148025, 15137030, 15137051, 15137055, 14270288, 14284554, 14284553, 14284544, 14244437, 14244429, 14210449, 14244436, 14317249, 14221185, 14293814, 14293832, 14293817, 14293830, 14293840, 14293825, 14293820, 14293822, 14293816, 14293836, 14293827, 14293845, 14293828, 14293823, 14345626, 14293818, 14345703, 14293835, 14345701, 14345652, 14345673, 14345604, 14345666, 14345609, 14293838, 14345690, 14345605, 14345588, 14345589, 14345591, 14345672, 14345688, 14345635, 14345586, 14345610, 14345705, 14345633, 14345648, 14345669, 14345671, 14345686, 14345689, 14345651, 14345600, 14345571, 14345629, 14345572, 14345631, 14345606, 14345620, 14345603, 14345632, 14345630, 14345608, 14345649, 14345650, 14345595, 14345577, 14345659, 14345573, 14317237, 14293843, 14345661, 14317231, 14345704, 14345698, 14345693, 14345575, 14317246, 14345682, 14345583, 14345598, 14317228, 14345641, 14345670, 14317205, 14345655, 14317206, 14345581, 14317219, 14345657, 14345624, 14332962, 14360178, 14360175, 14332971, 14317211, 14360155, 14360159, 14317233, 14345618, 14332982, 14360156, 14360179, 14360168, 14360153, 14360148, 14332974, 14360144, 14360145, 14317236, 14345675, 14317214, 14317218, 14317221, 14317229, 14332983, 14332980, 14360167, 14385174, 14385173, 14410932, 14332970, 14345616, 14385183, 14385195, 14410925, 14317232, 14385187, 14385180, 14360158, 14360163, 14385192, 14332981, 14360174, 14317227, 14332984, 14385190, 14317240, 14332966, 14360161, 14385186, 14385196, 14385184, 14360177, 14332972, 14360149, 14332963, 14385171, 14385170, 14385194, 14332976, 14360160, 14385188, 14385198, 14360171, 14385181, 14385197, 14360146, 14345579, 14360166, 14345696, 14317241, 14360157, 14410942, 14317247, 14360162, 14360170, 14332975, 14410928, 14317208, 14433141, 14385178, 14293846, 14410945, 14332960, 14332979, 14410929, 14410937, 14410935, 14433133, 14410943, 14410949, 14410920, 14445218, 14433159, 14433145, 14433163, 14433162, 14445233, 14445237, 14445225, 14445221, 14464001, 14445230, 14463995, 14433140, 14464002, 14464005, 14463984, 14463992, 14445229, 14445231, 14464009, 14464007, 14463989, 14445240, 14433158, 14445234, 14445220, 14433153, 14463982, 14445224, 14463994, 14614202, 14614206, 14614184, 14614183, 14614189, 14614192, 14614182, 14513800, 14614204, 14614191, 14614190, 14614205, 14614200, 14614196, 14614188, 14614199, 14586755, 14614187, 14445242, 14445232, 14445219, 14464003, 14445239, 14463981, 14485880, 14563148, 14614194, 14643690, 14614201, 14643669, 14643668, 14643694, 14643673, 14643676, 14643670, 14643692, 14643672, 14485905, 14643687, 14679258, 14643685, 14679251, 14679271, 14643679, 14643693, 14643680, 14679260, 14563144, 14643675, 14643689, 14643681, 14643683, 14679250, 14643695, 14679259, 14679264, 14614207, 14643684, 14586751, 14643678, 14643682, 14679269, 14679265, 14679263, 14679253, 14679247, 14679267, 14679255, 14679270, 14679248, 14679261.14679257, 14679256, 14679254, 14679268, 14545381, 14485900, 14643691, 14513821, 14586778, 14643677, 14679249, 14727200, 14727184, 14727201, 14727202, 14679252, 14727193, 14750617, 14750612, 14750601, 14750598, 14750624, 14750614, 14750603, 14750622, 14750615, 14614203, 14727204, 14750620, 14750611, 14750602, 14614195, 14750605, 14750616, 14750608, 14727190, 14727203, 14727208, 14727185, 14727188, 14727205, 14727186, 14727196, 14727189, 14727194, 14727183, 14772864, 14772866, 14772883, 14772876, 14772869, 14772884, 14772879, 14772862, 14772888, 14772887, 14772870, 14727191, 14772874, 14772881, 14772875, 14772886, 14772878, 14772871, 14772877, 14772882, 14772865, 14727195, 14750613, 14750621, 14643674, 14772873, 14772867, 14643671, 14772863, 14825708, 14825709, 14801168, 14801163, 14801182, 14801175, 14825717, 14801161, 14825712, 14801178, 14825725, 14801181, 14801177, 14825715, 14825710, 14801171, 14801164, 14825720, 14801179, 14801172, 14825723, 14825707, 14801173, 14801166, 14801167, 14825703, 14801176, 14801165, 14825716, 14801169, 14801184, 14801170, 14825719, 14801160, 14801180, 14727206, 14727198, 14614185, 14614193, 14360147, 14614186, 14874492, 14874502, 14874494, 14847410, 14727199, 14847403, 14727209, 14772872, 14614198, 14801162, 14801183, 14643667, 14614197, 14940475, 14911513, 14911506, 14961724, 14911509, 14874500, 14911504, 14911519, 14911515, 14911511, 14940484, 14874498, 14940474, 14911508, 14911512, 14911510, 14911523, 14961715, 14874499, 14874504, 14847407, 14911516, 14961720, 14961722, 14874510, 14874513, 14874515, 14961719, 14961735, 14961738, 14911505, 14940469, 14911529, 14961737, 14847417, 14874508, 14961741, 14874488, 14874493, 14911522, 14911507, 14825718, 14940490, 14874505, 14874495, 14940477, 14961734, 14874511, 14940466, 14911527, 14911521, 14940472, 14874485, 14874490, 14961730, 14961717, 14911520, 14961718, 14911518, 14874506, 14961729, 14874503, 14911514, 14874516, 14961727, 14911517, 14911528, 14874501, 14874509, 14940483, 14940476, 14940489, 14940468, 14940480, 14940473, 14874507, 14874487, 14984765, 14984770, 15105521, 15026745, 15049870, 14984771, 15049875, 15085571, 15026752, 15049866, 15105522, 15049867, 15065449, 15105531, 15049878, 15049877, 15085570, 14984757, 14984780, 15049881, 15026753, 15065446, 15065448, 15065460, 15065455, 15065456, 15105527, 14984766, 15026749, 15085574, 15026759, 15065440, 15049862, 15105532, 15049861, 15049874, 15085568, 15049868, 15065452, 15065463, 15065441, 15105524, 15085577, 15105520, 15105534, 15049871, 15085584, 15105518, 15049876X, 15105533, 15105514, 14984761, 15065457, 14984773, 15049880, 14984769, 15049865, 15049869, 15105536, 15105528, 15122454, 14984764, 15049879, 15065445, 15085575, 15085582, 15122464, 15049863, 15105525, 14984767, 15085586, 15105526, 15137044, 15105513, 15065439, 15085567, 15065461, 15085569, 15085573, 15105519, 15085572, 15085581, 15049873, 14293830, 14345633; C-PTISY-100-HC-G-NA-FLEX7.5 (G57716): UDI-DI 00827002577169, Lot Numbers 15032438, 15154065, 15131208, 15141529, 15141530, 15141531, 15032434, 15060623, 14976871, 15131202, 15154063, 15154064, 15154062, 15141528, 14266217XXXX, 14266217XX, 14266217XXX, 14210447, 14221195, 14221166, 14221179, 14229746, 14221147, 14229749, 14188157, 14221116, 14221199, 14221207, 14221130, 14221137, 14182980, 14258282, 14229748, 14174839, 14229767, 14258284, 14221189, 14229766, 14198605, 14221148, 14210454, 14229774, 14229759, 14258278, 14188161, 14258277, 14221124, 14165623, 14229750, 14258280, 14229753, 14229764, 14258285, 14221120, 14174840, 14221156, 14284555, 14229757, 14244424, 14244453, 14244460, 14284550, 14284560, 14244449, 14266213, 14284548, 14266210, 14266212, 14284565, 14266211, 14266218, 14244423, 14221142, 14258279, 14266209, 14266219, 14284561, 14221136, 14221155, 14244428, 14244457, 14284563, 14284556, 14244426, 14284558, 14266220, 14293844, 14293839, 14345660, 14293829, 14345683, 14345580, 14345644, 14345597, 14345680, 14345601, 14345599, 14345697, 14345658, 14345647, 14345640, 14345617, 14345619, 14345622, 14345596, 14345663, 14345642, 14345678, 14345656, 14345695, 14345677, 14345694, 14345639, 14293821, 14345576, 14345578, 14293824, 14339446, 14345664, 14345699, 14345614, 14345621, 14317209, 14345623, 14293833, 14345602, 14345582, 14345645, 14345662, 14339448, 14345654, 14345684, 14327006, 14317230, 14327002, 14351899, 14339443, 14345625, 14317234, 14317242, 14327003, 14326999, 14351898, 14293826, 14317207, 14373852, 14398117, 14317248, 14327005, 14293815, 14351905, 14373857, 14398097, 14398114, 14398103, 14398111, 14351906, 14293837, 14351919, 14351900, 14326998, 14327001, 14351901, 14373862, 14373854, 14373849, 14339445, 14398119, 14373863, 14293841, 14351907, 14345681, 14339447, 14351896, 14317223, 14351921, 14398107, 14398105, 14520947, 14589758, 14520950, 14589763, 14589762, 14559684, 14589757, 14542266, 14589759, 14619989, 14559683, 14619981, 14619980, 14439428, 14456427, 14473242, 14439438, 14473241, 14473238, 14619975, 14619979, 14542263, 14657237, 14619985, 14542262, 14657236, 14657234, 14657238, 14711700, 14711703, 14758764, 14758762, 14758765, 14711705, 14758759, 14758763, 14788103, 14788106, 14788105, 14788104, 14788102, 14788101, 14820627, 14820628, 14820623, 14820626, 14820630, 14820629, 14871757, 14871753, 14871756, 14871755, 14896942, 14896940, 14871754, 14896943, 14896939, 14926507, 14926504, 14926502, 14950574, 14950571, 14950570, 14926503, 14926508, 14950573, 14950569, 14976873, 14926499, 14896941, 14976877, 14976874, 14976875, 15032436, 15032435, 15032437, 15060624, 15060621, 15060625, 15060622, 15083749, 15083744, 15083747, 15083746, 15083745, 14559685, 15131203, 15131205, 14229757, 15141529
Root Cause
Nonconforming Material/Component
Action Taken
An URGENT: MEDICAL DEVICE RECALL dated 4/7/23 was sent to customers. Actions to be Taken by the Customer 1. Examine inventory immediately to determine if you have Blue Rhino G2-Multi Percutaneous Tracheostomy Introducer Sets and Trays from the Cook Medical lots in Attachment A. If so, quarantine any affected sets/trays that remain unused. Immediately cease all further distribution and use of the affected sets/trays. 2. Return the complete sets/trays to Cook Medical with a copy of the Acknowledgement and Receipt Form to receive a product credit. Refer to the Acknowledgement and Receipt Form for return instructions. 3. Please complete the Acknowledgement and Receipt Form within 5 business days of receiving this letter regardless of whether you have affected sets/trays on hand. You may return the Form via fax (812.339.7316) or email (FieldActionsNA@CookMedical.com). 4. This notice must be shared with appropriate personnel, including down to the user level, within your organization or with any organization where the potentially affected sets/trays have been transferred. 5. Please immediately report adverse events to Cook Medical Customer Relations by phone at 800.457.4500 or 812.339.2235, Monday through Friday between 7:30am and 5:00pm (Eastern Time), or by email to: CustomerRelationsNA@CookMedical.com. Action being Taken by Cook Medical Cook Medical is removing potentially affected products from the market and replacing potentially defective tracheostomy tubes with new tracheostomy tubes as they become available from Medtronic. We recognize that this situation is a potential disruption to your normal operations, and we sincerely apologize. Thank you for your immediate assistance in this matter. If you have any questions or concerns, please contact Cook Medical Customer Relations at 800.457.4500 or 812.339.2235. We look forward to your return of the Acknowledgement and Receipt Form.