Medical Device Recall: Z-0028-2009

FDA Recalls dataset · Firm: Applied Medical Resources Corp 22872 Avenida Empresa Rancho Santa · Status: Terminated

Recall Action Class: N/A Date Initiated: 2008-06-25 Recall record compiled from public FDA source records.

Recall Parameters & Description

Normalized public record details for FDA recall code Z-0028-2009.

Recall Res Number
Z-0028-2009
FEI Number
2027111
Recall Status
Terminated
Recall Classification
N/A
Date Initiated
2008-06-25
Date Posted
2008-10-07
Date Terminated
2012-03-26
Product Code
GCJ
Event Number
49445
Product Quantity
14,113 total
Product Description Applied Medical, Lap Banding Kit, REF: K0406 Contains: (1) C0658, 11x100mm Threaded Shielded Trocar w/Universal Seal (1) C0522, 5x100mm Threaded Premium Flat Blade (1) C2202, 150mm Insufflation needle (1) C0605, 15x100mm Threaded Separator Access System (1) CB030, 5mm x 35cm Direct Drive Disposable Scissors (2) C4120, 5mm x 38cm Direct Drive Grasper Reposable Cartridge, for laparoscopic procedures.

Reason for Recall Potential inability to insufflate through the stopcock. Under certain circumstances, a flexible elastomeric component inside the 15mm trocar can stretch into a configuration that blocks the flow of insufflation gas (C02).

Action Details Customers were notified via FedEx or UPS on June 25,2008 with an overnight letter. The letter advises that Applied Medical is conducting a voluntary recall of the 15mm Separator Access Systems, Models C0604, C0605, C0606 and C0607 due to the potential inability to insufflate through the stopcock. Per the letter, the firm is asking that all 15mm product listed in the letter be returned. A response form is provided.

Distribution Pattern Nationwide and Canada distribution.

Code Information / Serial Numbers Product/Kit Batch Numbers: 1059718, 1060488, 1061516, 1062296, 1063810

Related Establishments / Registrations

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