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U.S. Department of Health and Human Services

Class 2 Device Recall Alcon Surgical Procedure Packs

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 Class 2 Device Recall Alcon Surgical Procedure Packssee related information
Date Initiated by FirmAugust 08, 2017
Date PostedAugust 25, 2017
Recall Status1 Terminated 3 on August 05, 2019
Recall NumberZ-0053-2018
Recall Event ID 77965
510(K)NumberK880961 
Product Classification General surgery tray - Product Code LRO
ProductAlcon Custom Pak
Code Information 2033459H, 2034186H, 2034491H
FEI Number 1000117501
Recalling Firm/
Manufacturer
Alcon Research, LTD.
9965 Buffalo Speedway
Houston TX 77054-1309
For Additional Information ContactBill Walker
800-862-5266
Manufacturer Reason
for Recall
Alcon is initiating a medical device recall, after receiving notification from a supplier of a recall for x-ray detectable sponges. The one product referenced in the supplier recall notification, is used within Alcon Custom Paks.
FDA Determined
Cause 2
Nonconforming Material/Component
ActionThe medical user was sent a customer recall notification letter on 8/7/17. The medical user is requested to return the unused, affected Custom Paks to Alcon. Upon receipt and verification, Alcon will destroy the affected sponges in a controlled manner via physical destruction.
Quantity in Commerce33 units
DistributionStates in the US - WI, NY, MO
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 = LRO
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