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U.S. Department of Health and Human Services

Class 2 Device Recall Patella

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  Class 2 Device Recall Patella see related information
Date Initiated by Firm July 11, 2014
Date Posted August 17, 2014
Recall Status1 Terminated 3 on October 06, 2014
Recall Number Z-2254-2014
Recall Event ID 68898
510(K)Number K994370  
Product Classification Prosthesis, knee, patellofemorotibial, semi-constrained, cemented, polymer/metal/polymer - Product Code JWH
Product Patella 38mm, REF164-0038

Product Usage: UHMWPE component used in a TKA procedure to resurface the patella and serve as a bearing surface for sliding contact with the femoral component
Code Information Patella 38mm Part 164-0038, Lot A135844
Recalling Firm/
Manufacturer
Ortho Development Corporation
12187 Business Park Dr
Draper UT 84020-8663
For Additional Information Contact Mike Ensign
801-553-9991
Manufacturer Reason
for Recall
Ortho Development is recalling various Pivot Bipolar Cup, Patella, PS Tibial Insert, UC Tibila Insert, and CK Tibil Insert because the foil pouches did not properly seal, allowing air to seep back into the pouch after sealing which increases the risk that the material properties of the implant would be substantially degraded due to oxidation.
FDA Determined
Cause 2
Packaging process control
Action Ortho Development notified all affected consignees/distributors of the recall via email on July 11, 2014 which included a list of the affected product (part numbers, lot numbers and quantities) under their control. An RMA number and return shipping label were also included with the email. Emails were followed up with phone calls to verify receipt of the notification.
Quantity in Commerce 14
Distribution Worldwide Distribution - US Nationwide and the country of Japan. No military/govt/VA consignees.
Total Product Life Cycle TPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = JWH and Original Applicant = ORTHO DEVELOPMENT CORP.
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