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U.S. Department of Health and Human Services

Class 2 Device Recall Ultrafill DBM

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 Class 2 Device Recall Ultrafill DBMsee related information
Date Initiated by FirmMarch 14, 2012
Date PostedJanuary 07, 2013
Recall Status1 Terminated 3 on December 02, 2014
Recall NumberZ-0651-2013
Recall Event ID 63226
Product Classification Filler, bone void, calcium compound - Product Code MQV
ProductUltrafill DBM labeled in part: TISSUENET Sterilized by T10^6 Description: UltraFill DBM Size: 1cc Product Code: RT53001 Donated Human Tissue Allograft SINGLE PATIENT USE ONLY FOR INTERNATIONAL USE ONLY See Package Insert for Additional Information TissueNet's Porcine DBM product line is used as a bone void filler
Code Information Product Code: RT53001 Tissue ID: TN29041-11-0072 Through TN29041-11-0081; and TN29041-11-0083 through TN29041-11-0119
Recalling Firm/
Manufacturer		 Surgical Tissue Network, Inc.
7022 TPC Dr Ste 400
Orlando FL 32822-5140
For Additional Information ContactGene S. Elliot
407-380-2424 Ext. 230
Manufacturer Reason
for Recall		Surgical Tissue Network Inc., DBA TissueNet Inc. recalled their UltraFill DBM Putty-Porcine (1 cc; 5cc; 10cc) because products may contain trace amounts of 316L Stainless Steel particulates.
FDA Determined
Cause 2		Employee error
ActionSurgical Tissue Network sent a Notification of Voluntary Tissue Recall dated March 22, 2012, to all affected customers. The firm issued an additional notification letter on August 30, 2012. The letter identified the product, the problem, and action to be taken by the customer. Consignees were asked to return all listed products that remain in inventory. If the product was further distributed, they were asked to forward the recall information to their customers. Customers were instructed to contact TissueNet's Customer Service Department at 800-465-8800 x283 to coordinate return/replacement of the affected product. Customers with questions were instructed to call 800-465-8800 x230. For questions regarding this recall call 407-380-2424.
Quantity in Commerce25 units
DistributionWorldwide Distribution including Turkey, Greece, & Mexico.
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.
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