| | Class 2 Device Recall Gertie Marx PainPak |  |
| Date Initiated by Firm | June 18, 2004 |
| Date Posted | July 20, 2004 |
| Recall Status1 |
Terminated 3 on October 20, 2004 |
| Recall Number | Z-1113-04 |
| Recall Event ID |
29389 |
| Product Classification |
General Surgery Tray - Product Code LRO
|
| Product | Gertie Marx PainPak, Lot number 0504305, Reorder number 4060 |
| Code Information |
Lot 0504305 |
| FEI Number |
1000306134
|
Recalling Firm/ Manufacturer |
Spinal Specialties, Inc
12001 Network Blvd Bldg F # 208
San Antonio
TX
78249-3351
|
Manufacturer Reason for Recall | Kit contains lidocaine, which has particulate matter in its ampule. |
FDA Determined Cause 2 | Other |
| Action | Firm notified consignees who received the product by telephone on 6/18/2004, then sent a letter via facsimile and next day air delivery. |
| Quantity in Commerce | 60 units |
| Distribution | El Paso, Texas and Lansing, Michigan |
| 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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