| | Class 2 Device Recall GEM COUPLER FORCEPS |  |
| Date Initiated by Firm | November 02, 2018 |
| Create Date | December 22, 2018 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-0680-2019 |
| Recall Event ID |
81581 |
| Product Classification |
Forceps - Product Code HTD
|
| Product | GEM Coupler Forceps, GEM4183C, packaged individually. |
| Code Information |
Product Code 5193-06001-010, Lot Number: SP18E129-1307852, Sub-lot Number: 90828, UDI: 00844735002850 |
| FEI Number |
1417572
|
Recalling Firm/ Manufacturer |
Baxter Healthcare Corporation 1 Baxter Pkwy Deerfield IL 60015-4625
|
| For Additional Information Contact | 800-422-9837 |
Manufacturer Reason for Recall | Potential presence of rust on Coupler Forceps (GEM4183C). |
FDA Determined Cause 2 | Process control |
| Action | Synovis Micro Companies Alliance (MCS), Inc. a subsidiary of Baxter International Inc., notified customers on about 11/02/2018 via "Urgent Product Recall letter sent via U.S.P.S., first class mail. Instructions included to review inventory for affected product, arrange for return of all affected product to Synovis MCA, complete and return the provided Baxter customer reply form, and notify customers if the affected product was further distributed.
General questions can be directed to Synovia MCA at 800-510-3318 or 205-941-0111 Monday through Friday, between 8:00 am and 5:00 pm Central Time. |
| Quantity in Commerce | 123 devices |
| Distribution | Nationwide distribution to CA, FL, GA, KS, LA, MA, MS, NE, NJ, NV, NY, OH, PA, TX, UT, VA, WA, WV.
International distribution to United Kingdom, Germany, South Africa, Japan, and
Australia |
| 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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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