Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0916-2020Class I

King Vision Video Adapter Size 1/2. Laryngoscope used to examine and visualize a patients upper airway and...

King Systems Corporation. / initiated 2019-11-05 / Terminated / root cause: manufacturing process

King Systems Corp. dba Ambu, Inc. began a recall of King Vision Video Adapter Size 1/2. Laryngoscope used to examine and visualize a patients upper airway and aid in the placement of a tracheal tube. Model... on . FDA classified it as Class I and gives the reason as "Exhibiting a reversed image. Although the image may appear normal, the users actions will be reversed on the display for left and right directions". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0916-2020
Classification
Class I
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
King Systems Corporation.
Product
King Vision Video Adapter Size 1/2. Laryngoscope used to examine and visualize a patients upper airway and aid in the placement of a tracheal tube. Model Number: KVLVA12
Product code
CCW Laryngoscope, Rigid
Reason for recall
Exhibiting a reversed image. Although the image may appear normal, the users actions will be reversed on the display for left and right directions.
Root cause tag
manufacturing process
FDA root cause
Nonconforming Material/Component
Action
King Systems issued notification letter -Urgent Medical Device Recall to Domestic consignees notified via E-mail on 11/5/19 with attached letters and forms. Foreign consignees were notified according to local regulation. On January 24, 2020, King Systems issued a Press Release dated 1/20/2020. Customers are advised to take the following action: 1) Review your current inventory and place any affected products in quarantine immediately. 2) The affected products should NOT be used. 3) Please note any affected quantity of product(s) on the attached form and return it within 30 days from the date of this letter by email to Shelby Mitchell ([email protected]). King Systems asks that you please return all affected product(s). Please contact Shelby Mitchell at +l (410) 768-6464 or email [email protected] to arrange Return Authorization and credit/replacement
Quantity in commerce
171 units
Distribution
Worldwide distribution. US Nationwide, Australia, Belgium, Bolivia, Canada, Costa Rica, Germany, Hong Kong, India, Italy, Japan, Myanmar, Poland, Spain, and UK.
Product codes and lots
Lot codes: 010614, 010629, 010657, 010668, 010670, 010722;   Serial Numbers: LHXXXXXXX10240 LHXXXXXXX10243 LHXXXXXXX10284 LHXXXXXXX10554 LHXXXXXXX10559 LHXXXXXXX10562 LHXXXXXXX10569 LHXXXXXXX10570 LHXXXXXXX10611 LHXXXXXXX10666

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0916-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0916-2020Class ITerminatedVoluntary: Firm initiated