Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1318-2018Class II

Refractor Suspension Arm (P/N: 525004, 05 and 525006, 07) The Intended use of this medical device, as part of...

Haag-Streit USA Inc / initiated 2017-12-06 / Terminated / root cause: manufacturing process

Reliance Medical Products Inc began a recall of Refractor Suspension Arm (P/N: 525004, 05 and 525006, 07) The Intended use of this medical device, as part of system to store and position ophthalmological... on . FDA classified it as Class II and gives the reason as "Product has been found with a missing Washer, Retaining Ring, and/or Stop Screw. Recalling firm was notified by distributor that Refractor Suspension Arm fell on a patient s lower torso along with the arm housing". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-1318-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Haag-Streit USA Inc
Product
Refractor Suspension Arm (P/N: 525004, 05 and 525006, 07) The Intended use of this medical device, as part of system to store and position ophthalmological examination and diagnostic equipment, is to store and position for examination a device commonly known as a refractor.
Product code
HKN Refractor, Manual, Non-Powered, Including Phoropter
Reason for recall
Product has been found with a missing Washer, Retaining Ring, and/or Stop Screw. Recalling firm was notified by distributor that Refractor Suspension Arm fell on a patient s lower torso along with the arm housing
Root cause tag
manufacturing process
FDA root cause
Employee error
Action
Recalling firm sent letter to customers via certified mail for US customers and via regular mail to foreign customers. Verify product has the presence of the one or more of the three parts: Refractor Suspension Arm missing Screw, Washer and/or Retaining Ring (Snap Ring) that may be missing, and to assure it is functioning properly. For further questions, please call (513) 398-3937
Quantity in commerce
933 ( of which 97 has been quarantined)
Distribution
Worldwide Distribution - USA(nationwide) Distribution to the states of : NJ, CA, OH, VA, MA, MN, IL , UT, TN, AR, LA, AZ, PA, TX, IA and HI., and to the countries of : Costa Rica, Jamaica, South Africa, New Zealand, South Korea, Dubai, Saudi Arabia and Jordan.
Product codes and lots
Model Number: 525004, 05 and 525006, 07

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1318-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1318-2018Class IITerminatedVoluntary: Firm initiated