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U.S. Department of Health and Human Services

Class 2 Device Recall TSI Distraction Screw

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  Class 2 Device Recall TSI Distraction Screw see related information
Date Initiated by Firm May 15, 2020
Create Date July 10, 2020
Recall Status1 Open3, Classified
Recall Number Z-2527-2020
Recall Event ID 85830
Product Classification Orthopedic manual surgical instrument - Product Code LXH
5/BOX - Product Usage: intended to be used for distraction in the anterior approach to the cervical spine.
Code Information Product Code: DS-0014 UDI Number: 00851797006450 Lot Number: 2018020801 2018061101
Recalling Firm/
TeDan Surgical Innovations LLC
12615 W Airport Blvd Ste 200
Sugar Land TX 77478-6203
For Additional Information Contact Danny Fishman
Manufacturer Reason
for Recall
Lack of pouch seal. Product is labelled as sterile.
FDA Determined
Cause 2
Packaging change control
Action On June 4, 2020, the firm sent an "URGENT: MEDICAL DEVICE FIELD SAFETY NOTICE" along a "Field Safety Notice Acknowledgement and Receipt Form Response Required" to customers via email informing them the Recaling Firm has received two (2) complaints associated with the packaging issue where there was no seal on the screw pouch opposite the chevron manufacturing pouch seal. The Recalling Firm is instructing customer to: -immediate visual inspection of the pouch be conducted (Letter A shown in the red outline opposite the chevron seal [Letter B] in Figure 1) and observe for an open seal (example photographs are included in the Notification). Any product exhibiting an open seal is to be quarantined, and then returned to the Recalling Firm. Customers are to contact their authorized distributor for RMA and shipping instructions. The Recalling Firm requests the following actions be performed to visually inspect the product packaging: 1. Carefully open the Distraction Screw box only on one (1) end, ensuring box integrity. 2. Remove the five (5) sterile pouches. 3. Visually inspect the seal zone (indicated as letter A in Figure 1) opposite the chevron seal (Letter B) for each sterile pouch. 4. IF the pouch is not sealed, DO NOT USE THE DEVICE. Quarantine the device and contact your authorized distributor who will assist you with shipping instructions and replacements. See contact information below. 5. IF the pouch is sealed, is not opened, the product remains sterile and may be used. 6. Complete and return to TSI the enclosed FIELD SAFETY NOTICE ACKNOWLEDGMENT via fax or e-mail. Please complete as soon as possible but no later than July 6, 2020. Contact Information for Returns - RMA: Account Management Telephone 713-726-0886 Email Address acctmgmt@tedansurgical.com Fax 713-726-0846 For further questions, contact Lynne Davies, ldavies@tedansurgical.com or call 713-554-2130
Quantity in Commerce 1965 screws (packaged into 393 boxes) - [5 screw per box]
Distribution Worldwide distribution - U.S. Nationwide distribution including in the states of: AZ, CA, FL, GA, HI, IL, MA, MI, NC, NH, NJ, NY, NV, PA, PR, TN, TX, and WA . The countries of Australia, Canada, France, Philippines, Taiwan, U.A.E., and United Kingdom.
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.