Z-1996-2012Class II

Bayonet Forceps 7.-1/8 (181.0mm) 0.75mm Insulated Tips, Sterile Single Use Surgical/Bipolar Forceps, Model...

Name: Z-1996-2012 Bayonet Forceps 7.-1/8 (181.0mm) 0.75mm Insulated Tips, Sterile Single Use Surgical/Bipolar Forceps, Model...
Creator: PSC Industries Inc
Published: 2012-06-01
License: https://open.fda.gov/license/

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

FDA source

PSC Industries Inc began a recall of Bayonet Forceps 7.-1/8 (181.0mm) 0.75mm Insulated Tips, Sterile Single Use Surgical/Bipolar Forceps, Model #20-1360I, 510 (k) #K884656. The surgical device is... on 2012-06-01. FDA classified it as Class II and gives the reason as "Firm officials reported to CIN-DO that the outer carton label of this sterile, single use device is misbranded in that it lists an incorrect expiration date. The outer carton label lists the sterile expiration date as...". As of 2026-09-10, the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number: Z-1996-2012
Classification: Class II
Status: Terminated
Initiated: 2012-06-01
Posted: 2012-07-12
Terminated: 2015-09-15
Recalling firm: Olsen Medical
Product: Bayonet Forceps 7.-1/8 (181.0mm) 0.75mm Insulated Tips, Sterile Single Use Surgical/Bipolar Forceps, Model #20-1360I, 510 (k) #K884656. The surgical device is package one (s) per plastic Tyvek peel pouch, 10 plastic Tyvek peel pouches per box. Bipolar Forceps and Cords - Olsen Medical Bipolar Forceps and Cords are intended for use in coagulating tissue during surgical procedures.
Product code: GEI Electrosurgical, Cutting & Coagulation & Accessories
Reason for recall: Firm officials reported to CIN-DO that the outer carton label of this sterile, single use device is misbranded in that it lists an incorrect expiration date. The outer carton label lists the sterile expiration date as: 2012-02-(28) [the manufacture date] ; however the device pouch label lists the sterile date as: 2017-02-(28). The pouch label lists the correct sterile expiration date.
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: 80 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: 20-1360I, Lot Number: 023399, Expiration Date: 02/28/2017.

Enforcement reports

One row per recalled product line

FDA enforcement reports joined to recall event Z-1996-2012
Recall number	Class	Status	Voluntary or mandated	Report date	Classified
Z-1994-2012	Class II	Terminated	Voluntary: Firm initiated	2012-07-18	2012-07-11
Z-1995-2012	Class II	Terminated	Voluntary: Firm initiated	2012-07-18	2012-07-11
Z-1996-2012	Class II	Terminated	Voluntary: Firm initiated	2012-07-18	2012-07-11
Z-1997-2012	Class II	Terminated	Voluntary: Firm initiated	2012-07-18	2012-07-11
Z-1998-2012	Class II	Terminated	Voluntary: Firm initiated	2012-07-18	2012-07-11
Z-1999-2012	Class II	Terminated	Voluntary: Firm initiated	2012-07-18	2012-07-11

Product code GEI

K884656Class IIDisposable Bipolar Cord and Bipolar ForcepDermacare / cleared 1988-11-25

MDM coverage of this record lists here, newest first.

About this record

Sourced from the FDA device recall database and the FDA enforcement reports, both ingested from openFDA. The recall record supplies the product, the reason and the product code; the enforcement report supplies the classification. The two datasets are exported by FDA on different days, and the date above is the older of the two, so nothing on this page is newer than it says.

MDM adds the root cause tag, derived from FDA’s own root cause text, and the cross-links to the product code, the clearances named on the record and MDM coverage. Where a recall has not been joined to an enforcement report, no classification is shown.

Data as of 2026-09-30, the FDA export date for this dataset. Page last changed 2026-09-05. View this recall on fda.gov (opens on fda.gov)