Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0092-2015Class II

DePuy Synthes Radiolucent Retractor, part number 387.580, lot number 3620715

Synthes GmbH / initiated 2014-10-02 / Terminated / root cause: manufacturing process

Synthes, Inc. began a recall of DePuy Synthes Radiolucent Retractor, part number 387.580, lot number 3620715 on . FDA classified it as Class II and gives the reason as "Particle residue on the instrument from adhesive tape which was used to bind the device during transport. There may be a risk of tissue reaction if a patient is exposed to latex particles from the adhesive tape, or a...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0092-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Synthes GmbH
Product
DePuy Synthes Radiolucent Retractor, part number 387.580, lot number 3620715
Product code
GAD Retractor
Reason for recall
Particle residue on the instrument from adhesive tape which was used to bind the device during transport. There may be a risk of tissue reaction if a patient is exposed to latex particles from the adhesive tape, or a systemic reaction such as anaphylaxis in patients with latex allergy.
Root cause tag
manufacturing process
FDA root cause
Material/Component Contamination
Action
DePuy Synthes sent an Urgent Notice Medical Device Recall letter dated October 2, 2014, to all affected customers. The letter identified the product the problem and the action needed to be taken by the customer. Please take the following actions: If you DO have any of the identified devices, please take the following steps: Call DePuy Synthes at 1-800-479-6329 to obtain a Return Authorization (RA) Number. Complete the Verification Section (page 3 of this letter) by checking the appropriate box indicating affected product has been located. Also, please indicate the number of devices found and note the Return Authorization Number. Please include your name, title, address, telephone number and signature in the spaces provided. Send a copy of the completed Verification Section to DePuy Synthes by: Fax: (610) 430-7083 or " Scan/email: [email protected] Note: If the Verification Section is answered on behalf of more than one facility and/or individual, please clearly indicate the name and address of the facility and/or individual on page 3 of the notification. If you DO NOT have the identified product, please take the following steps: Complete the attached Verification Section (page 3 of this letter) by checking the appropriate box indicating that no affected product has been located. Please include your name, title, address, telephone number and signature in the spaces provided. This return documentation acknowledges your receipt of medical device removal information. Return the documents to DePuy Synthes by Fax: (610) 430-7083 or Scan/email: [email protected] Note: If the Verification Section is answered on behalf of more than one facility and/or individual, please clearly indicate the name and address of the facility and/or individual on page 3 of the notification. If you have any questions, please call 610-719-5450, or contact your DePuy Synthes sales consultant. Thank you for your attention to this issue.
Quantity in commerce
11
Distribution
US Distribution including the states of PA, NC, TN, NY, WI, WA and MI.
Product codes and lots
Radiolucent Retractor for Upper Cervical Spine part number 387.580, lot number 3620715.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0092-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0092-2015Class IITerminatedVoluntary: Firm initiated