Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1146-2020Class II

Revanesse Versa, PN40081

Prollenium Medical Technologies Inc. / initiated 2018-11-15 / Terminated / root cause: labeling and UDI

Prollenium Medical Technologies Inc. began a recall of Revanesse Versa, PN40081 on . FDA classified it as Class II and gives the reason as "Labeling error. The product is labeled with an 18 month expiration date, however the product is approved for 12 months". As of , the recall status on record is Terminated, and MDM tags the root cause as labeling and UDI.

Recall record

Recall number
Z-1146-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Prollenium Medical Technologies Inc.
Product
Revanesse Versa, PN40081
Product code
LMH Implant, Dermal, For Aesthetic Use
Reason for recall
Labeling error. The product is labeled with an 18 month expiration date, however the product is approved for 12 months.
Root cause tag
labeling and UDI
FDA root cause
Other
Action
A letter containing the subject "Revanesse Versa Expiration Dating" was e-mail on Nov 15, 2018 and April 30, 2019 to all consignees. The letter informed consignees about the issue. The letter asked consignees to do the following: 1. We request you to verily if any Revanesse Versa kit lots listed in the table on Page 2 are in your possession, if so please set aside and do not use them if they are expired from their 12 month expiration date has passed. If you have any concerns with your existing Revanesse Versa kits, please ^ contact Prollenium with the information below. We will send you a shipping label that will allow you to send the product back to our distribution center. 2. Send email to info@prolIenium,com configured as follows: Business Name: XXX, Versa Lot #: XXX, Number of Expired Kits: XXX, Contact Person: XXX 3. Prollenium will inform you once the updated expiration date is approved by the US FDA.
Quantity in commerce
48,457 kits
Distribution
US Nationwide distribution TX, FL, NC, LA, KY, WI, SD, IL, KS, CA
Product codes and lots
Lot #/ Exp. date  17K004/July 31, 2018  17K005/July31,2018  I7K006/August 31, 2018  17K007/August 31, 2018  17K090/October 31, 2018  17K091/October 31, 2018  17L026/October 31, 2018  17L028/October 31, 2018  I7L050/November 30, 2018  17L0S1/November 30, 2018  18A023/November 30, 2018 18A024/November 30, 2018  I8E028/December 31, 2018  18E029/December 31, 2018  18F032/December 31, 2018  18F033/December 31, 2018  18G065/April 30, 2019  18G074/April 30, 2019  18G075/April 30, 2019  18G076/April 30, 2019  181022/June 30, 2019  181029/June 30, 2019

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1146-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1146-2020Class IITerminatedVoluntary: Firm initiated