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U.S. Department of Health and Human Services

Class 2 Device Recall ReNew Reusable Grasper and Dissector Tips

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  Class 2 Device Recall ReNew Reusable Grasper and Dissector Tips see related information
Date Initiated by Firm July 13, 2017
Create Date February 02, 2018
Recall Status1 Terminated 3 on February 06, 2020
Recall Number Z-0507-2018
Recall Event ID 78754
510(K)Number K974066  K962119  
Product Classification Electrosurgical, cutting & coagulation & accessories - Product Code GEI
Product The ReNew Reusable Grasper and Dissector Tips are to be used with the ReNew Laparoscopic Handpieces and they are indicated for cutting, grasping, dissecting, and coagulation of tissue in endoscopic and laparoscopic surgical procedures.
Code Information All lots of product codes: 3201,3221,3231,3241,3251,3261,3271,3281,3291,3301,3311,3321,3331,3341, 3351,3361,3371,3381,3401,3411,3421,3431  UDI's for listed lots of product codes: 3201-UDI 00811099011644,  3221-UDI 00811099011651, 3231-UDI 00811099011668, 3241-UDI 00811099011675, 3251-UDI 00811099011682, 3261-UDI 00811099011699, 3271-UDI 00811099011705, 3281-UDI 00811099011712, 3291-UDI 00811099011729, 3301-UDI 00811099011859, 3311-UDI 00811099011736, 3321-UDI 00811099011743, 3331-UDI 00811099011767, 3341-UDI 00811099011774, 3351-UDI 00811099011781, 3371-UDI 00811099011804, 3381-UDI 00811099011811, 3401-UDI 00811099011828, 3411-UDI 00811099011835, 3421-UDI 00811099011842, 3431-UDI 00811099011644
Recalling Firm/
Manufacturer		 Microline Surgical, Inc.
800 Cummings Ctr Ste 166T
Beverly MA 01915-6171
For Additional Information Contact Maretin J. Leighton
978-922-9810
Manufacturer Reason
for Recall		 The heat-shrink insulation tube may split during autoclave sterilization/re-sterilization. If a split occurs, the heat-shrink could fall off during a surgical procedure and if cautery is needed, there is a potential for burn due to insulation failure.
FDA Determined
Cause 2		 Device Design
Action The firm, Microline Surgical, Inc., sent a "URGENT: MEDICAL DEVICE RECALL" letter dated July 13, 2017 to its customers. The letter described the product, problem and actions to be taken. The customers were instructed to immediately determine if you are in possession of the product and stop use; quarantine all products both new un-opened Reusable Tips AND Reusable Tips that have been used or are in current use (regardless of whether you have observed the malfunction); If you are a distributor or further distributed this product, we require that you immediately remove affected products from inventory and stop sales and shipping; identify customers immediately and notify them of this product recall; and all customers/distributors complete and return the MEDICAL DEVICE RECALL RETURN RESPONSE Acknowledgement and Receipt Form (even if you have never received any of these products or have none in stock) by E-MAILING A SCANNED COPY TO: ReusableTipRecall@microlinesurgical.com or Fax to: 978-522-8490, ATTN: Reusable Tip Recall, or MAIL TO: Microline Surgical, Inc, 50 Dunham Road, Suite 1500, Beverly, MA 01915, ATTN: Recall Department. Microline has discontinued manufacture of the affected ReNew Reusable Tips and has initiated a ship-hold and new orders-hold for these products. For more information, please email ReusableTipRecall@microlinesurgical.com or contact Director of RA & QA at 978-922-9810 or email: mleighton@microlinesurgical.com.
Quantity in Commerce 61,769 units
Distribution Worldwide Distribution-US (Nationwide) and countries of: Australia, Brazil, Canada, Chile, China, Colombia, El Salvador, Hong Kong, India, Indonesia, Malaysia, Mexico, Panama, Peru, Argentina, South Korea, Sri Lanka, Taiwan, Thailand, Uruguay & Vietnam.
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.
510(K) Database 510(K)s with Product Code = GEI and Original Applicant = MICROLINE PENTAX, INC.
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