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U.S. Department of Health and Human Services

Class 2 Device Recall Restep DVT System

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 Class 2 Device Recall Restep DVT Systemsee related information
Date Initiated by FirmAugust 30, 2012
Date PostedFebruary 20, 2013
Recall Status1 Terminated 3 on September 30, 2014
Recall NumberZ-0840-2013
Recall Event ID 63692
510(K)NumberK090308 
Product Classification Sleeve, limb, compressible - Product Code JOW
ProductSTRYKER Sustainability Solutions, AC Power Adaptor for Restep Deep Vein Thrombosis (DVT) System, an external compression system. PUMPKIT (Pump Kit), and RSP159-01 (AC Power Adaptor).
Code Information 108851407, 108851408, 108870192, 108874144, 108883271, 108886340, and 108888023.
FEI Number 3009350690
Recalling Firm/
Manufacturer		 Stryker Sustainability Solutions
1810 W Drake Dr
Tempe AZ 85283-4327
For Additional Information ContactMoira Barton-Varty
888-888-3433 Ext. 5519
Manufacturer Reason
for Recall		Reports that the AC Power Adaptor may not operate due to wires coming loose in the unit.
FDA Determined
Cause 2		Process control
ActionStryker Sustainability Solutions sent a Urgent Medical Device Removal Notification letter dated September 5, 2012, to all affected customers. The letter identified the product, problem and the action to be taken by the customer. The firm notified that affected AC Power Adaptors would be replaced with improved Adaptors. Any affected lots would be removed and shipped back to Stryker Sustainability Solutions for final disposition. Customers were instructed to fill out the attached Recall Effectiveness Form even if no affected product was found and fax to Stryker Sustainability Solutions at (480) 809-4957
Quantity in Commerce1,311
DistributionDistributed in Arizona and New Jersey.
Total Product Life CycleTPLC 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) Database510(K)s with Product Code = JOW
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