Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0106-2015Class II

Box Label: 3 mm Cueva Electrode Kit, Sterile EO, Rx Only, REF. CNE1-3KDINX . Pouch labels: Each kit contains...

AD-Tech Medical Instrument Corp. / initiated 2014-10-08 / Terminated / root cause: manufacturing process

Ad-Tech Medical Instrument Corporation began a recall of Box Label: 3 mm Cueva Electrode Kit, Sterile EO, Rx Only, REF. CNE1-3KDINX . Pouch labels: Each kit contains 3 pouches. 3 mm Cueva Electrode CNE-3X, Cueva... on . FDA classified it as Class II and gives the reason as "The recall has been initiated due to concerns that the applicator wand may malfunction potentially causing the inability to monitor the VII cranial nerve". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0106-2015
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
AD-Tech Medical Instrument Corp.
Product
Box Label: 3 mm Cueva Electrode Kit, Sterile EO, Rx Only, REF. CNE1-3KDINX . Pouch labels: Each kit contains 3 pouches. 3 mm Cueva Electrode CNE-3X, Cueva Electrode Applicator Wand CNE-100X, Cueva Electrode Leadwire CNE-LW-2DINX. Box Label: 2 mm Cueva Electrode Kit, Sterile EO, Rx Only, REF. CNE1-2KDINX . Pouch labels: Each kit contains 3 pouches. 3 mm Cueva Electrode CNE-2X, Cueva Electrode Applicator Wand CNE-100X, Cueva Electrode Leadwire CNE-LW-2DINX.
Product code
GZL Electrode, Depth
Reason for recall
The recall has been initiated due to concerns that the applicator wand may malfunction potentially causing the inability to monitor the VII cranial nerve. .
Root cause tag
manufacturing process
FDA root cause
Process control
Action
Consignees were sent on 10/8/2014 an AD-TECH "Medical Device Recall" letter dated October 6, 2014. The letter described the Reason for the Voluntary Recall, Risk to Health, Action to be taken by the Customer, Product and Distribution Information and Other Information. Requested consignees to return the "Acknowledgement and Receipt Form" to their Ad-Tech Clinical Specialists Fax 262-634-5668, Telephone 262-634-1555, [email protected]. For additional information they can use the same number.
Quantity in commerce
13 kits (26 electrodes, 26 applicator wands, 26 leadwires).
Distribution
Worldwide Distribution: US (nationwide) in the states of: CO, FL, LA, NJ, OH, WA, and WI; and internationally to: Finland.
Product codes and lots
Lot number 208140447 Batch Number 0060002;  Lot Number 208140458 Batch Number 0061723; LotNumber208140487R Batch Number 0067938.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0106-2015
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0106-2015Class IITerminatedVoluntary: Firm initiated