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Class 3 Device Recall MTAPSD2.4 TypeS Thermoplastic Mask |
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Date Initiated by Firm |
February 25, 2008 |
Date Posted |
May 21, 2008 |
Recall Status1 |
Terminated 3 on July 02, 2008 |
Recall Number |
Z-1608-2008 |
Recall Event ID |
46863 |
Product Classification |
Medical charged-particle radiation therapy system - Product Code IYE
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Product |
MT-APSD-2.4 Type-S Thermoplastic Mask, Medical charged-particle radiation therapy system; Disposable non-sterile (43.2cm) standard perforated thermoplastic head, neck and shoulder mask (2.4mm), 1 device per package; CIVCO Medical Solutions (MEDTEC), Orange City, IA 51041. |
Code Information |
Lot Number: 34415. |
Recalling Firm/ Manufacturer |
Civco Medical Instruments Inc 102 1st St S Kalona IA 52247-9589
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For Additional Information Contact |
James Leong 319-656-4447 Ext. 224
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Manufacturer Reason for Recall |
Mislabeled: The mask is mislabeled with the incorrect part number but the outer packaging is correct.
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FDA Determined Cause 2 |
Labeling mix-ups |
Action |
Consignees were notified by a Recall Notification letter on 2/25/08. The letter informed users that the recalling firm will replace the affected product. It also requested that users return a recall notification acknowledging notification of recall. Users were instructed to contact their sales representative to arrange servicing or for additional information at 1-800-842-8688. |
Quantity in Commerce |
160 |
Distribution |
Worldwide Distribution including USA states of IL, PA, NC, TN, SD, CA, MI, WI, MA, and CO; and country of Japan. |
Total Product Life Cycle |
TPLC Device Report
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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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