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U.S. Department of Health and Human Services

Class 2 Device Recall Sterile Procedural Trays

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 Class 2 Device Recall Sterile Procedural Trayssee related information
Date Initiated by FirmNovember 17, 2022
Date PostedFebruary 06, 2023
Recall Status1 Open3, Classified
Recall NumberZ-1094-2023
Recall Event ID 91386
Product Classification Obstetrical kit - Product Code OKV
ProductSterile Procedural Trays, labeled as the following: a. CELEBRATION ROBOTIC CDS b. DAVINCI CDS UCC-LF c. ROBOTICS PACK-LF d. ROBOTICS PACK-LF e. ROBOTIC PACK f. PELVISCOPY PACK-LF g. CUSTOM LITHOTOMY ROBOT PACK h. PERI GYN PACK i. ROBOTICS PACK j. LAP HYSTO PACK k. PK, ROBOTICS-ACCESSORY l. OBS PACK m. LAPAROSCOPY/D&C PACK n. PERI GYN RECTAL PACK o. TVT p. DAVINCI DT-LF q. ROBOTICS SI
Code Information a. CELEBRATION ROBOTIC CDS, Item Number: CDS983612C, Case UDI/GTIN: 40884389768687, Unit UDI/GTIN: 10884389768686, Lot Number: 22KBE707,22JBX839,22JBX843; b. DAVINCI CDS UCC-LF, Item Number: CDS984663G, Case UDI/GTIN: 40193489323772, Unit UDI/GTIN: 10193489323771, Lot Number: 22JBX614; c. ROBOTICS PACK-LF, Item Number: DYNJ0038258B, Case UDI/GTIN: 40889942902089, Unit UDI/GTIN: 10889942902088, Lot Number: 22IBO524,22HBV626,22HBV627; d. ROBOTICS PACK-LF, Item Number: DYNJ0046667A, Case UDI/GTIN: 40889942160397, Unit UDI/GTIN: 10889942160396, Lot Number: 22JMA806,22IMC899; e. ROBOTIC PACK, Item Number: DYNJ04135B, Case UDI/GTIN: 40888277893536, Unit UDI/GTIN: 10888277893535, Lot Number: 22JBX625,22IBE470; f. PELVISCOPY PACK-LF, Item Number: DYNJ0843760G, Case UDI/GTIN: 40193489899161, Unit UDI/GTIN: 10193489899160, Lot Number: 22IDC034; g. CUSTOM LITHOTOMY ROBOT PACK, Item Number: DYNJ35094C, Case UDI/GTIN: 40889942764991, Unit UDI/GTIN: 10889942764990, Lot Number: 22IBR203; h. PERI GYN PACK, Item Number: DYNJ39021B, Case UDI/GTIN: 40195327191048, Unit UDI/GTIN: 10195327191047, Lot Number: 22JBI763,22IBJ622; i. ROBOTICS PACK, Item Number: DYNJ42016B, Case UDI/GTIN: 40888277938312, Unit UDI/GTIN: 10888277938311, Lot Number: 22JBQ809,22IBG293; j. LAP HYSTO PACK, Item Number: DYNJ43888, Case UDI/GTIN: 40888277073273, Unit UDI/GTIN: 10888277073272, Lot Number: 22JBC458; k. PK, ROBOTICS-ACCESSORY, Item Number: DYNJ52985F, Case UDI/GTIN: 40193489215824, Unit UDI/GTIN: 10193489215823, Lot Number: 22IBK173,22IBK797,22HBG975; l. OBS PACK, Item Number: DYNJ65258B, Case UDI/GTIN: 40193489829496, Unit UDI/GTIN: 10193489829495, Lot Number: 22IBD122; m. LAPAROSCOPY/D&C PACK, Item Number: DYNJ67569A, Case UDI/GTIN: 40195327191529, Unit UDI/GTIN: 10195327191528, Lot Number: 22JBQ481; n. PERI GYN RECTAL PACK, Item Number: DYNJ82556, Case UDI/GTIN: 40195327198269, Unit UDI/GTIN: 10195327198268, Lot Number: 22IBO110; o. TVT, Item Number: DYNJ900506B, Case UDI/GTIN: 40889942576518, Unit UDI/GTIN: 10889942576517, Lot Number: 22IBV025; p. DAVINCI DT-LF, Item Number: DYNJ900569G, Case UDI/GTIN: 40193489861434, Unit UDI/GTIN: 10193489861433, Lot Number: 22JBB568; q. ROBOTICS SI, Item Number: DYNJ902659D, Case UDI/GTIN: 40889942692416, Unit UDI/GTIN: 10889942692415, Lot Number: 22IBG173,22IBG174
Recalling Firm/
Manufacturer		 MEDLINE INDUSTRIES, LP - Northfield
3 Lakes Dr
Northfield IL 60093-2753
For Additional Information ContactKarin Johnson
886-359-1704
Manufacturer Reason
for Recall		Sterile blades within sterile kits have the potential for the blade to puncture the outer foil layer of the sterile packaging.
FDA Determined
Cause 2		Device Design
ActionMedline Industries, LP notified consignees via email and first-class mail on 11/15/2022. Consignees were instructed to check stock for affected product and immediately quarantine. For any affected units, customers were instructed to over-label the sterile kits with a warning label indicating "Warning To Avoid Injury, Please Handle Blades with Care." No product is to be returned. Customers were also instructed to complete and return the response form and notify customers if further distributed.
Quantity in Commerce1,212 cases (2,101 units)
DistributionWorldwide distribution - US Nationwide and the countries of Canada, Japan, Mexico, Panama, Turks & Caicos, United Arab Emirates.
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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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