Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1995-2012Class II

Bayonet Forceps 8.5" (215.9mm) Serrated 1.0 mm Tips Electrosurgical/Monopolar Forceps/Reusable, Model #41604...

Olsen Medical / initiated 2012-06-01 / Terminated / root cause: labeling and UDI

PSC Industries Inc began a recall of Bayonet Forceps 8.5" (215.9mm) Serrated 1.0 mm Tips Electrosurgical/Monopolar Forceps/Reusable, Model #41604, 510 (k) #K885199. The surgical device is package... on . FDA classified it as Class II and gives the reason as "Firm officials reported to CIN-DO that their Electrosurgical Monopolar Reusable Bayonet Forceps are misbranded in that the label states that the tip size is: (0.5mm) when the tip size actually measures (1.0mm)". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-1995-2012
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Olsen Medical
Product
Bayonet Forceps 8.5" (215.9mm) Serrated 1.0 mm Tips Electrosurgical/Monopolar Forceps/Reusable, Model #41604, 510 (k) #K885199. The surgical device is package in non-sterile small plastic tubes. Monopolar Reusable Forceps - are intended for use in cutting and coagulating tissue during surgical procedures.
Product code
GEI Electrosurgical, Cutting & Coagulation & Accessories
Reason for recall
Firm officials reported to CIN-DO that their Electrosurgical Monopolar Reusable Bayonet Forceps are misbranded in that the label states that the tip size is: (0.5mm) when the tip size actually measures (1.0mm).
Root cause tag
labeling and UDI
FDA root cause
Labeling mix-ups
Action
The firm, Olsen Medical, sent an "URGENT: MEDICAL DEVICE RECALL" letter dated June 5, 2012 to their customers via Certified mail along with representative labeling to illustrate the specific labeling issue associated with the various types and/or sizes of Bayonet Forceps surgical instruments that the customers received. The letter described the product, problem and actions to be taken. The letter instructed the customers to immediately examine their inventory for the presence of the suspect product and quarantine the product, if found; to discontinue use immediately and promptly call (800) 251-3000 for a 'Return Material Authorization (RMA) number; to complete and return the enclosed 'Recall Response Form' and fax the completed form to the fax number on the form or to send the completed form back to the recalling firm via parcel post, and for customers who may have further distributed the recalled product are asked to contact their (sub-account) customers and notify them of the recall. If you have any questions call (615) 964-5515 M-F 8:00 am - 5:00 pm CST.
Quantity in commerce
5 units
Distribution
Worldwide distribution: USA (nationwide) including states of: CA, CT, FL, GA, MD, MI, NC, OR, SC, and TX and countries of: Canada and Philippines.
Product codes and lots
Model/part Number: 41604, Lot Number: 019737, and 021578.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1995-2012
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1994-2012Class IITerminatedVoluntary: Firm initiated
Z-1995-2012Class IITerminatedVoluntary: Firm initiated
Z-1996-2012Class IITerminatedVoluntary: Firm initiated
Z-1997-2012Class IITerminatedVoluntary: Firm initiated
Z-1998-2012Class IITerminatedVoluntary: Firm initiated
Z-1999-2012Class IITerminatedVoluntary: Firm initiated