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U.S. Department of Health and Human Services

Class 2 Device Recall SL PLUS MIA DOUBLE OFFSET ADAPTER

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 Class 2 Device Recall SL PLUS MIA DOUBLE OFFSET ADAPTERsee related information
Date Initiated by FirmJanuary 07, 2019
Create DateJanuary 12, 2019
Recall Status1 Terminated 3 on September 17, 2020
Recall NumberZ-0730-2019
Recall Event ID 81917
510(K)NumberK123598 
Product Classification Orthopedic manual surgical instrument - Product Code LXH
ProductSL PLUS MIA DOUBLE OFFSET ADAPTER RIGHT 60/25MM, S&N 75004613
Code Information Lot Numbers: C63165, C63306, C63495
Recalling Firm/
Manufacturer
Smith & Nephew, Inc.
1450 E Brooks Rd
Memphis TN 38116-1804
Manufacturer Reason
for Recall
The pin that holds the spring mechanism is not properly mounted. The pin could potentially disassemble.
FDA Determined
Cause 2
Process control
ActionThe firm initiated the recall by email and letter on 01/07/2019. The firm requested the return of the product.
Quantity in Commerce72 units
DistributionNY, TN, Germany, Italy, Great Britain, Singapore
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.
510(K) Database510(K)s with Product Code = LXH
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