Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2158-2020Class II

Epix latis GRASPER, 5 mm x 35 cm, REF C4130, Qty: 10, Sterile R, CE, Rx ONLY, UDI: (01)00607915110147

Applied Medical Resources Corp / initiated 2020-03-17 / Terminated

Applied Medical Resources Corp began a recall of Epix latis GRASPER, 5 mm x 35 cm, REF C4130, Qty: 10, Sterile R, CE, Rx ONLY, UDI: (01)00607915110147 on . FDA classified it as Class II and gives the reason as "There may be a slightly protruding rivet on the distal end of the laparoscopic grasper which has the potential for tissue to catch on it during use and lead to tissue damage". As of , the recall status on record is Terminated.

Recall record

Recall number
Z-2158-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Applied Medical Resources Corp
Product
Epix latis GRASPER, 5 mm x 35 cm, REF C4130, Qty: 10, Sterile R, CE, Rx ONLY, UDI: (01)00607915110147
Product code
NWV Laparoscopic Accessories, Gynecologic
Reason for recall
There may be a slightly protruding rivet on the distal end of the laparoscopic grasper which has the potential for tissue to catch on it during use and lead to tissue damage.
FDA root cause
Under Investigation by firm
Action
Each domestic consignee was notified by Urgent: Medical Device Recall letter, dated March 16, 2020 sent to distributors 3/19/2020 via email and domestic consignees on March 19, 2020 via UPS. It notified customers of recall of specific lots due to the potential for tissue to catch on a slightly protruding riven on the distal end of the device, which may lead to tissue damage. It instructed customers to complete the following actions: 1) Check inventory for recalled product. 2) Complete the attached Customer Recall Notification Confirmation Form (Page 3) to acknowledge the Recall. Please then indicate if your facility is returning or has already used devices from this lot. Please note that you must return the form even if you have no devices in inventory. 3) If a distributor, please notify any facilities to which they distributed the affected product. Please also complete the Distributor Recall Notification Confirmation Form (Page 4). 4) Return the Customer Recall Notification Confirmation Form to Applied Medical by email at [email protected] or fax to (949) 688-2125. 5) Return affected product and a copy of the Customer Recall Notification Confirmation Form to Applied Medical.Product Return Instructions are on Page 5. NOTE: If a distributor, please notify any facilities to which they distributed the affected product. Also,please contact your local regulatory agency. It listed the following contact information for additional questions and/or MDR reporting: For product return questions, please contact Jaclene Rios-Simpson, RGA Dept. at (949) 713-8688 or by email [email protected]. For regulatory questions, please contact Lauren Contursi at (949) 713-8767 or by email at [email protected]. Adverse reactions or quality problems experienced with the use of these products may be reported to the FDAs MedWatch Adverse Event Reporting program either online, by regular mail or by fax.
Quantity in commerce
32,760 units
Distribution
US: AL, AR, AZ, CA, CO, CT, FL, GA, HI, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NM, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WA, WI, WV, WY OUS: Argentina, Australia, Austria, Belgium, Canada, Chile, Costa Rica, Denmark, France, Germany, Greece, Hong Kong, India, Ireland, Israel, Italy, Latvia, Liechtenstein, Luxembourg, Netherlands, New Zealand, Peru, Portugal, Serbia, Singapore, South Africa, Spain, Thailand, United Kingdom
Product codes and lots
Batch: 1364578/Expiration Date: July 28, 2022;  Batch: 1366453/Expiration Date: August 13, 2022;  Batch: 1371249/Expiration Date: October 3, 2022;  Batch: 1373050/Expiration Date: October 23, 2022;  Batch: 1373248/Expiration Date: November 4, 2022;  Batch: 1373249/Expiration Date: November 11, 2022; Batch: 1373255/Expiration Date: November 18, 2022;  Batch: 1373260/Expiration Date: November 19, 2022;  Batch; 1373261/Expiration Date: November 24, 2022;  Batch: 1373262/Expiration Date: December 2, 2022;  Batch: 1373263/Expiration Date: December 5, 2022;  Batch: 1377363/Expiration Date: December 11, 2022;  Batch: 1377364/Expiration Date: December 17, 2022

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2158-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2158-2020Class IITerminatedVoluntary: Firm initiated
Z-2159-2020Class IITerminatedVoluntary: Firm initiated
Z-2160-2020Class IITerminatedVoluntary: Firm initiated
Z-2161-2020Class IITerminatedVoluntary: Firm initiated