Class 2 Device Recall PKG, BIPOLAR FORCEPS, FENESTRATED

• Date Initiated by Firm: November 17, 2014
• Date Posted: December 12, 2014
• Recall Status: Terminated on July 17, 2015
• Recall Number: Z-0694-2015
• Recall Event ID: 69838
• Product Classification: Endoscope and/or accessories - Product Code KOG
• Product: PKG, BIPOLAR FORCEPS, FENESTRATED, 33CM, P/N 0250080360.; Laparoscopic Manual Instruments are intended for cutting, holding, grasping and manipulating of tissue, organs, organ areas and surgical auxiliaries such as suturing material. Some instruments have radio frequency (RF) ports which allow them to be used for electrosurgery. Laparoscopic surgical manual instruments are designed to be used endoscopically through cannulae to perform cutting, grasping, dissecting, retracting, and manipulating functions. This device does not sustain or support life.
• Code Information: 614661 716054 817474 913490 913546 913557 913558 913564 913652 914124 915684 915912 915913 1013456 1013457 1014295 1014657 1014658 1015047 1015048 1015158 1015160 1015781 1015782 1016402 1016403 1016404 1016557 1016558 1016559 1016561 1016828 1016829 1113336 1113337 1113338 1113615 1113616 1113698 1113699 1114268 1114269 1115399 1115401 1115402 1115964 1115965 1115966 1116116 1116117 1116118 1117009 1117010 1213733 1213734 1214732 1214733 1216815 1216816 1216817 1216818 1217032 1313934 1314205 1314921 1314922 1314923 1315783 1315784 1316806 1316807 1410093 1410094 1410095 1410417 1410418 1410599 1410600 1410601 1412348
• Recalling Firm/ Manufacturer: Stryker Endoscopy; 5900 Optical Ct; San Jose CA 95138-1400
• For Additional Information Contact: 408-754-2000
• Manufacturer Reason for Recall: The parameters provided in the Laparoscopic Manual Instruments Instructions for Use (IFU 1000-401-070 Revision G or prior) do not support the unwrapped Gravity cycle and the Ethylene Oxide cycle sterilization methods
• FDA Determined Cause: Error in labeling
• Action: Stryker Endoscopy sent an Urgent Device Correction letter dated November 17, 2014, to affected customers. The letter informed the customers of the potential hazards and actions required. Customers were instructed to discard any old Instructions for Use for their Laparoscopic Manual Instruments and Accessories. Download the new Instuctions for Use (IFU1000-401-070 Revision J) from the URL link below: www.stryker.com/IFU1000401070 Customers were instructed to complete and sign the enclosed "Acknowledgement of Receipt" form and email them to endorecall@stryker.com or fax to (408) 855-6314. Customers with questions were instructed to contact Stryker Endoscopy at 408-855-6238 or via email at endorecall@stryker.com. For questions regarding this recall call 408-754-2000.
• Quantity in Commerce: 180,573 units total
• Distribution: Worldwide Distribution - USA (nationwide) and Internationally to Algeria, Argentina, Australia, Bolivia, Brazil, Canada, Chile, China, Colombia, Costa Rica, Ecuador, France, Germany, Greece, Guam, Guatemala, India, Italy, Japan, Jordan, Kuwait, Latin America, Malaysia, Mexico, Morocco, Netherlands, New Zealand, Peru, Philippines, Poland, Portugal, Puerto Rico, Romania, Saudi Arabia, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, Turkey, United Arab Emirates, United Kingdom, and Venezuela.

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.