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U.S. Department of Health and Human Services

Class 1 Device Recall Customed

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  Class 1 Device Recall Customed see related information
Date Initiated by Firm May 20, 2014
Date Posted August 29, 2014
Recall Status1 Terminated 3 on August 14, 2017
Recall Number Z-2377-2014
Recall Event ID 68536
Product Classification laparoscopy kit - Product Code FDE
Product LAP AROSCOPY PACK -
(10) GAUZE SPONGE 4" X 4" 16 PLY XRD LIF
(1) MAYO STAND COVER REINFORCED L/F
(4) ADHESIVE BANDAGE%" X 3" ST. LIF
(1) TABLE COVER REINFORCED 50" X 90" LIF
(2) GOWN IMPERVIOUS REINFORCED LARGE SMS
(2) TOWEL ABSORBENT 15" X 20" LIF
(1) DRAPE LASER CAMERA W/EL 6" X 96" LIF
(2) LITE GLOVE LIF
(1) TUBE SUCTION CONNECTING W X 12' LIF
(1) DRAPE LAP WITH POUCH 102" X 121 " X 78" STD SMS
(1) BLADE SURGICAL #11 STAINLESS STEEL
(1) SYRINGE 10cc WITHOUT NEEDLE LUER LOCK LIF
(4) DRAPE UTILITY WITH TAPE L/F
(1) BAG SUTURE FLORAL
(1) TUR Y SET, 2 LEAD L/F
(2) NEEDLE & BLADE COUNTER 1 OC MAG/CLEAR LIF
(1) GOWN STANDARD LARGE SMS VELCRO NECK
(1) TUBE SUCTION CONNECT 3/16" X 12' LIF
(1) Pk. STERI STRIP LAP. LATEX
(1) CONTAINER SPECIMEN 4oz WITH LID & LABEL
(1) CAUTERY PENCIL ROCKER SWITCH LIF

EO sterilized surgical convenient packs packaged into polyester/polyethylene breather bag with Tyvek double vents.
Code Information Product code 900-1176, 21 lots: 112051673 112051735 112062336 112083210 112093723 112114597 112114925 113025928 113036747 113078239 113078679 113089017 113099562 140111074 140211461 140211717 140312052 140312421 140412913 140513071 140513476 
Recalling Firm/
Manufacturer
Customed, Inc
Calle Igualdad Final #7
Fajardo PR 00738
For Additional Information Contact Rosemari Melendez
787-622-5151 Ext. 7540
Manufacturer Reason
for Recall
Customed has determined that there is the possibility that packaging integrity may be compromised on different catalog numbers (multiple lots). This could result in an injury to the patient due to product contamination or loss of sterility condition.
FDA Determined
Cause 2
Package design/selection
Action Customed Inc. sent a Recall Notification letter dated June 3, 2014 via email and followed by letter to all affected customers. The letter identified the affected products, problem and actions to be taken. The letter informed customers if the affected products are in their inventory to: 1. Remove products from sale (quarantine them) and cease distribution. 2. Complete and return the enclosed acknowledgement form to Customed Inc .Recall Coordinator. Affected products should be returned to Customed Inc for credit. Customers with questions were instructed to contact Customed Inc. Recall Coordinator at 1-787-801-0100 Ext. 7540
Quantity in Commerce 21 lots; 690 units (multiple units per lot)
Distribution Worldwide Distribution - US (nationwide) in the state of Florida including Puerto Rico (USA); & USVI (St John) and the countries of Tortola, Trinidad, Dominican Republic, Costa Rica and Mexico.
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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