Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0184-2022Class II

FIVE S 3.5x65, Flexible Intubation Videoscope, REF: 091361-01 (1 Unit), and 091361-06 (6 Units)

Karl Storz Endoscopy-America, Inc. / initiated 2021-09-10 / Open, Classified / root cause: sterility

Karl Storz Endoscopy began a recall of FIVE S 3.5x65, Flexible Intubation Videoscope, REF: 091361-01 (1 Unit), and 091361-06 (6 Units) on . FDA classified it as Class II and gives the reason as "During a regular requalification review, affected flexible intubation video endoscopes did not achieve the required sterility assurance level. There is a risk that the patient may be exposed to a higher risk of infection". As of , the recall status on record is Open, Classified, and MDM tags the root cause as sterility.

Recall record

Recall number
Z-0184-2022
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Karl Storz Endoscopy-America, Inc.
Product
FIVE S 3.5x65, Flexible Intubation Videoscope, REF: 091361-01 (1 Unit), and 091361-06 (6 Units)
Product code
CAL Laryngoscope, Non-Rigid
Reason for recall
During a regular requalification review, affected flexible intubation video endoscopes did not achieve the required sterility assurance level. There is a risk that the patient may be exposed to a higher risk of infection.
Root cause tag
sterility
FDA root cause
Under Investigation by firm
Action
On 09/10/21 recall notices were mailed to customers. Action to be taken by the user 1. Immediately quarantine and discontinue use of the affected products. 2. Pass on this Urgent Field Safety Notice to all users of the products listed above and all other persons who need to be aware within your organization. 3. If you have distributed the affected products to third parties, please promptly forward this letter to the recipients of the products and indicate contact details of the recipient on the Acknowledgement and Response Form. 4. Return the Acknowledgment and Response Form by Fax or E-Mail to the contact listed below within 10 calendar days of receipt of this notice. 5. Get in touch with your KARL STORZ representative to return affected products and to discuss suitable alternative products. This notice must be passed on to all those who need to be aware within your organization or to any organization where the potentially affected devices have been transferred. Complete and return the Customer Acknowledgement and Response Form.
Quantity in commerce
532
Distribution
US: SC, NH, UT, LA, FL, TX, MA, MO, VA, IA, CA, IL, NC, VT, AL, GA, PA, TN, WI, NY, CO, AZ, NV, ME, MS, DC, IN, KY, MD, OH, MI, WA, KS, OR, AR, MN, NJ, NM, WV, CT. OUS: Canada
Product codes and lots
All LOTs with remaining shelf life

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0184-2022
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0184-2022Class IIOngoingVoluntary: Firm initiated