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U.S. Department of Health and Human Services

Class 2 Device Recall Tra, Surgical, ENT

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  Class 2 Device Recall Tra, Surgical, ENT see related information
Date Initiated by Firm July 09, 2013
Date Posted August 09, 2013
Recall Status1 Terminated 3 on September 25, 2014
Recall Number Z-1934-2013
Recall Event ID 65837
Product Classification Tray, surgical, ent - Product Code MMO
Product Tray Surgical, ENT (various instrument trays)

Used for stot age and transportation of reusable surgical instruments utilized in various ear, nose and throat (ENT) and head and neck surgical procedures.
Code Information ALL Lots of the following models: Model 3717000 = 2 Level Instrument tray Model 3717001 = 3 Level tray (metal & radel) Model 3717006 = 2 Level Instruument tray with mat Model 3717026 = House Otology Set tray Model 3722301 = Wiet Chronic Ear Set tray Model 3747108 = Skykes Endobrow Lift tray Model 960374 = framelock tray Model *960-811 = Framelock Instrument set (includes tray 9603740 Model 960-619 = LandmarX tray Model *9731372XOM1 = Passive ENT Instrument Set (w/tray 960-619) Model MCOH0SC = Otology Plastic instrument tray Model MCO649SC = Middle Ear Instrument tray Model MCOS10SC = Instrument tray 2 level Model MCLS28 = MF Sataloff Complete Instrument tray Model MCLS37 = Sataloff Picks/Handles/Neddles Instrument tray Model 3319005 = Powerforma Bur Rack tray  * instrument set that includes the identified tray
Recalling Firm/
Manufacturer		 Medtronic Xomed, Inc.
6743 Southpoint Dr N
Jacksonville FL 32216-6218
For Additional Information Contact Dave Timlin
904-296-9600
Manufacturer Reason
for Recall		 The firm will recall and replace the identified instrument trays in the field, with trays that have improved labeling, including lids that contain the statement indicating 'PREVACUUM ONLY"
FDA Determined
Cause 2		 Device Design
Action Medtronic sent a Customer Commincation Recall Letter to all affected customers with the following information: Subject: URGENT PRODUCT Recall  Immediate Attention Required MEDTRONIC XOMED INSTRUMENT TRAYS - model numbers provided on Attachment One - all lots distributed prior to July 2013 Dear Purchasing Manager, Risk Manager and Central Supply Manager/Supervisor: This letter is to inform you that Medtronic Surgical Technologies (ENT Division) is initiating a voluntary recall to remove certain instrument trays from the field and replace them with trays that have modified labeling. Medtronic Xomed Instrument Trays are intended for the storage and transportation of reusable surgical instruments. These trays are not intended and not designed to maintain sterility. We are aware, however, that some users may also choose to use the trays for holding instruments during steam sterilization. If the user chooses to sterilize instruments within these instrument trays, they must validate the sterilization process. These users should be aware of the following issue: Issue Description: During the validation of a new instrument, testing revealed that use of a GRAVITY steam cycle with one of the listed instrument trays did not produce the Sterility Assurance Level (SAL) of 10-6 recommended by industry standard (ANSI/AAMI ST77:2006). A subsequent investigation of all Medtronic Xomed instrument trays identified additional trays as having certain locations within the tray that would not meet the recommended sterilization level of SAL10-6 during GRAVITY steam sterilization cycles. The trays identified through the testing are the subject trays involved in this field action. Instruments that are sterilized in the worst-case locations of the identified trays have a higher potential to be inadequately sterilized. An instrument that is inadequately sterilized can become the source of cross-contamination or cross-infection when used in multiple surgical procedures. At this time
Quantity in Commerce 3,562 trays
Distribution Worldwide Distribution - USA (nationwide) Nationwide, Hawaii, Puerto Rico and Guam. Internationally to: Canada, Austria, Belgium, Cyprus, France, Germany, Greece, India, Iran, Ireland, Israel, Italy, Kuwait, Lebanon, Luxembourg, Morocco, Netherlands, Nigeria, Portugal, Qatar, Reunion, Saudi Arabia, South Africa, Spain, Sweden, Switzerland, Turkey, United Arab Emirates, United Kingdom, Australia, New Zealand, Singapore, Thailand, Vietnam, China, Hong Kong,Taiwan, Korea, Japan, Brazil, Chile, Colombia, Costa Rica, Ecuador, Guatemala, Mexico, Nicaragua, and Venezuela.
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.
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