Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1959-2019Class II

Kii Fios First Entry, 5 X 75 mm, RX only, REF CFF05 Qty: 6, Sterile R, Lot: 1330981, Exp: July 15, 2021...

Applied Medical Resources Corp / initiated 2019-01-28 / Terminated / root cause: packaging

Applied Medical Resources Corp began a recall of Kii Fios First Entry, 5 X 75 mm, RX only, REF CFF05 Qty: 6, Sterile R, Lot: 1330981, Exp: July 15, 2021, Applied Medical Resource Corp. Product Usage: Kii Fios... on . FDA classified it as Class II and gives the reason as "The product may not have met sterility requirements . Use of a non-sterile device on a patient may expose the patient to infectious agents". As of , the recall status on record is Terminated, and MDM tags the root cause as packaging.

Recall record

Recall number
Z-1959-2019
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Applied Medical Resources Corp
Product
Kii Fios First Entry, 5 X 75 mm, RX only, REF CFF05 Qty: 6, Sterile R, Lot: 1330981, Exp: July 15, 2021, Applied Medical Resource Corp. Product Usage: Kii Fios first entry is indicated for use in general, abdominal, gynecological and thoracic minimally invasive surgical procedures to establish a path of entry or to gain access through tissue planes and/or potential spaces for endoscopic instruments, and as a means of insufflating the peritoneum prior to laparoscopic procedures.
Product code
GCJ Laparoscope, General & Plastic Surgery
Reason for recall
The product may not have met sterility requirements . Use of a non-sterile device on a patient may expose the patient to infectious agents.
Root cause tag
packaging
FDA root cause
Packaging
Action
Each US customer was notified via, "Urgent: Medical Device Recall" letter sent via UPS on January 28, 2019. All international consignees are in the process of being notified. The firm request customers compete the following actions: - Check your inventory for recalled product. - Complete the attached Recall Notification Confirmation Form (Page 2) to acknowledge the recall and indicate if your facility is returning or has already used product from the lot listed above. - If no product is being returned, please indicate on the Recall Notification Confirmation Form - If you are a distributor, please notify any facilities to which you distributed the affected product. Please also complete Page 3 of the Recall Notification Confirmation Form. - Return the Recall Notification Confirmation Form to Applied Medical by emailing it to [email protected] or faxing it to (949) 713-8205. - Return affected product and a copy of the Recall Notification Confirmation Form to Applied Medical.
Quantity in commerce
2,016 units
Distribution
Worldwide Distribution - US Nationwide Distribution: OUS: Japan, Australia, New Zealand, Spain, Italy, Great Britain, Germany, France, and Finland
Product codes and lots
Lot: 1330981, Exp: July 15, 2021 UDI: 0 0607915 12312 3

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1959-2019
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1959-2019Class IITerminatedVoluntary: Firm initiated