Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2753-2011

Bariatric Target Ring (Nitinol) (a thin, circular nitinol ring) Model # K-9536-N, Lot #08-001, Lot #08-002 &...

Kapp Surgical GmbH / initiated 2011-05-24 / Terminated / root cause: labeling and UDI

Kapp Surgical Instrument Inc began a recall of Bariatric Target Ring (Nitinol) (a thin, circular nitinol ring) Model # K-9536-N, Lot #08-001, Lot #08-002 & Lot #08-003. One ring per plastic pouch, three... on . The reason FDA records is "During an FDA Inspection on 3/21/11 - 3/22/11 at Kapp Surgical an uncontrolled instruction for use was discovered which contained sterilization parameters which differed from the instructions contained in the device...". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-2753-2011
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Kapp Surgical GmbH
Product
Bariatric Target Ring (Nitinol) (a thin, circular nitinol ring) Model # K-9536-N, Lot #08-001, Lot #08-002 & Lot #08-003. One ring per plastic pouch, three rings are then placed into a plastic box with lid. This box is then placed into a solid white box. Item is shipped and sold non-sterile. It is intended to be used to radiographically (with X-Ray) mark the site of the "gastropexy" performed during gastric bypass surgery, thereby making it accessible for future diagnostic, therapeutic and feeding purposes.
Product code
NEU Marker, Radiographic, Implantable
Reason for recall
During an FDA Inspection on 3/21/11 - 3/22/11 at Kapp Surgical an uncontrolled instruction for use was discovered which contained sterilization parameters which differed from the instructions contained in the device master record. Kapp Surgical decided to conduct the recall because we cannot be sure that incorrect instructions were not shipped.
Root cause tag
labeling and UDI
FDA root cause
Labeling mix-ups
Action
Kapp Surgical Instrument, Inc. sent an "URGENT MEDICAL DEVICE RECALL" letter dated May 24, 2011 to all affected customers. The letter describes the product, problem, and actions to be taken by the customers. The letter instructs customers to check their inventory and quarantine any product affected by this recall. The firm will make arrangements for returning the products. Replacements will be made by Kapp Surgical. Questions about this recall are directed to the QA Manager at 800-282-5277.
Quantity in commerce
222 units (rings)
Distribution
Product was distributed to the following states: OH, PA & SC. Product was also shipped to Saudia Arabia.
Product codes and lots
M/odel # K-9536-N, Lot #08-001, Lot #08-002 & Lot #08-003.