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Lower risk Medical device recall · FDA · Published September 28, 2021

Cook Flexor Check-Flo Introducer Recall: Incorrect Radiopaque Marker Band Risk

Cook recalls Flexor Check-Flo Introducer with incorrect radiopaque marker band placement, potentially causing longer procedures during medical imaging. Affected lots may need replacement.

🇺🇸 FDA recall #Z-0186-2022Medical deviceCook ›
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Recalling firmCook Inc.750 N Daniels Way · Bloomington, IN 47404-9120
✎ GovInfoNow plain-language explainer

Cook is recalling Flexor Check-Flo Introducer sets that may have the radiopaque marker band incorrectly placed. This could lead to longer procedures during medical imaging if the device is used improperly. Read more at govinfonow.com/recall/61744-cook-flexor-check-flo-introducer-recall-incorrect-radiopaque-marker-band.

Source Summary by GovInfoNow · govinfonow.com/recall/61744-cook-flexor-check-flo-introducer-recall-incorrect-radiopaque-marker-band · Updated August 19, 2026 · FDA enforcement record: FDA #Z-0186-2022

Cite this page

“Cook Flexor Check-Flo Introducer Recall: Incorrect Radiopaque Marker Band Risk.” GovInfoNow, updated August 19, 2026. https://govinfonow.com/recall/61744-cook-flexor-check-flo-introducer-recall-incorrect-radiopaque-marker-band. Based on FDA recall #Z-0186-2022 (https://api.fda.gov/device/enforcement.json?search=recall_number:%22Z-0186-2022%22&limit=1).

Cook Inc. recalled Flexor Check-Flo Introducer - Raabe Modification sets on Sept. 28, 2021, because the radiopaque marker band may be incorrectly positioned, potentially increasing procedural time, according to the FDA.

How to tell if you have it

  • Brand: Cook
  • Product: Flexor Check-Flo Introducer - Raabe Modification, Introducer Set
  • RPN: KCFW-5.0-38-90-RB-RAABE
  • GPN: G13069
  • Lot code: 13846597

The hazard

Affected lots may be manufactured incorrectly with the radiopaque marker band located just below the Check-Flo proximal fitting instead of the distal tip, according to the FDA. The issue may not be identified until the device is placed in the patient and viewed under fluoroscopy, leading to increased procedural time.

Context

GovInfoNow's records show Cook Inc. has 38 other recalls on record since July 31, 2017. Other recent recalls of similar products include Cook Flexor Check-Flo Introducers and Sets (Nov. 26, 2025), Cook Ring Transjugular Intrahepatic Access Sets (Nov. 26, 2025), and Wilson-Cook Instinct Plus Endoscopic Clipping Device (March 3, 2026).

How to tell if you have this one

Check for the product model RPN KCFW-5.0-38-90-RB-RAABE with lot number 13846597. The device is sold by Cook Inc. for medical use.

  • Brand
    Cook
  • Category
    Medical device
FDA recall event · 2 products

All 2 products in this recall

FDA lists each product line separately under one recall event. Check your product description, lot or code numbers against each row. Every row shares the hazard and remedy on this page.

  • Classification
    Class II
  • Status
    Terminated
  • Distribution
    Domestic distribution to AR AZ CT FL GA IL LA MA ME MN ND NJ NY OH PA TX WA. Foreign distribution to Germany, Finland, Italy, Netherlands, and Switzerland.
Recall numberProduct, codes & lotsQuantity
Z-0185-2022Flexor Check-Flo Introducer, Introducer Set, RPN KCFW-6.0-35-45-RB, GPN G09908 The introducer sheath incorporates a hydrophilic coated Flexor shaft with a hemostasis valve and is provided with a dilator.; lot 1386136248 (OUS)
Z-0186-2022Flexor Check-Flo Introducer - Raabe Modification, Introducer Set, RPN KCFW-5.0-38-90-RB-RAABE, GPN G13069 The introducer sheath incorporates a hydrophilic coated Flexor shaft with a hemostasis valve and is provided with a dilator.; lot 1384659748 (US)
Based on the official FDA remedy

What to do — step by step

  1. Check Product Lot Number

    Identify the lot number on the device packaging or label to determine if it is affected.

Where it went and when

Where it was distributed

Distributed in 17 states, and outside the U.S.

Alaska: not listedAKMaine: yesMEVermont: not listedVTNew Hampshire: not listedNHWashington: yesWAIdaho: not listedIDMontana: not listedMTNorth Dakota: yesNDMinnesota: yesMNIllinois: yesILWisconsin: not listedWIMichigan: not listedMINew York: yesNYRhode Island: not listedRIMassachusetts: yesMAOregon: not listedORNevada: not listedNVWyoming: not listedWYSouth Dakota: not listedSDIowa: not listedIAIndiana: not listedINOhio: yesOHPennsylvania: yesPANew Jersey: yesNJConnecticut: yesCTCalifornia: not listedCAUtah: not listedUTColorado: not listedCONebraska: not listedNEMissouri: not listedMOKentucky: not listedKYWest Virginia: not listedWVVirginia: not listedVAMaryland: not listedMDDelaware: not listedDEArizona: yesAZNew Mexico: not listedNMKansas: not listedKSArkansas: yesARTennessee: not listedTNNorth Carolina: not listedNCSouth Carolina: not listedSCDistrict of Columbia: not listedDCOklahoma: not listedOKLouisiana: yesLAMississippi: not listedMSAlabama: not listedALGeorgia: yesGAHawaii: not listedHITexas: yesTXFlorida: yesFL

FDA distribution: “Domestic distribution to AR AZ CT FL GA IL LA MA ME MN ND NJ NY OH PA TX WA. Foreign distribution to Germany, Finland, Italy, Netherlands, and Switzerland.” States read from FDA’s own wording; “not listed” means the notice does not name it.

States: Arizona, Arkansas, Connecticut, Florida, Georgia, Illinois, Louisiana, Maine, Massachusetts, Minnesota, New Jersey, New York, North Dakota, Ohio, Pennsylvania, Texas, Washington.

Recall timeline

FDA terminated this recall 2.4 years after the firm started it.

1. Firm started the recall: Sep 28, 202112. FDA classified it Class II: Oct 29, 202123. Published in FDA’s Enforcement Report: Nov 10, 202134. FDA terminated the recall: Feb 28, 2024420212024
  1. Firm started the recall
  2. FDA classified it Class II
  3. Published in FDA’s Enforcement Report
  4. FDA terminated the recall

Dates from the agency record only; steps without a date are left out.

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Where this comes from

The facts (hazard, remedy, dates, manufacturer) are pulled from the official FDA recall record. The plain-language summary and step-by-step checklist are written by GovInfoNow to make the official notice easier to act on — they don’t replace it.

  • Official source: FDA Recall #Z-0186-2022 (September 28, 2021) — FDA publishes no per-recall page; this is the official machine-readable enforcement record. Search FDA recalls for Z-0186-2022 to see it in context.
  • Plain-language summary written by qwen3:4b on August 19, 2026, from the official record above. Not reviewed by a person — if it conflicts with the FDA notice, the notice is correct. Report an error on this page.
  • GovInfoNow is an independent service and is not a government agency. We republish official FDA recall data; we don’t issue, amend or administer recalls.
GovInfoNow is an independent guide. We are not FDA or any government agency. Always confirm details with the official recall.Data: CPSC · FDA · NHTSA · USDA