| | Class 2 Device Recall Valeris Medical Apollo Medial Suture Anchor |  |
| Date Initiated by Firm | July 16, 2018 |
| Create Date | October 12, 2018 |
| Recall Status1 |
Terminated 3 on August 04, 2020 |
| Recall Number | Z-0104-2019 |
| Recall Event ID |
80734 |
| 510(K)Number | K133036 |
| Product Classification |
Fastener, fixation, nondegradable, soft tissue - Product Code MBI
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| Product | Valeris Medical Apollo Medial Suture Anchor, Catalog Number MSA-4515, 4.5 x 15mm, each package contains (1) PEEK Screw, (1) #2 ForceBraid Blue, and (1) #2 ForceBraid White, 5 packages per container, Sterile, Rx. The firm name on the label is Valeris Medical, Marietta, GA. |
| Code Information |
Lot #1982, Exp. 3/22/2019 |
| FEI Number |
3010841252
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Recalling Firm/ Manufacturer |
Valeris Medical, LLC 200 Cobb Pkwy N Bldg 200 Ste 210 Marietta GA 30062-3500
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| For Additional Information Contact | Ms. Jamie Lewis 678-540-1838 |
Manufacturer Reason for Recall | The product was mislabeled as containing the incorrect type of suture. |
FDA Determined Cause 2 | Process control |
| Action | The recalling firm issued a letter dated 7/13/2018 via email on 7/16/2018 to their consignees to inform them the product is mislabeled and contains blue and green sutures rather than blue and white sutures as is indicated on the label. |
| Quantity in Commerce | 75 units |
| Distribution | Distribution was made to FL, OH, OK, and TX, Foreign distribution was made to the United Kingdom and New Zealand. |
| Total Product Life Cycle | TPLC Device Report |
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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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| 510(K) Database | 510(K)s with Product Code = MBI
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