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U.S. Department of Health and Human Services

Class 2 Device Recall

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  Class 2 Device Recall see related information
Date Initiated by Firm August 08, 2008
Date Posted January 13, 2009
Recall Status1 Terminated 3 on April 26, 2011
Recall Number Z-0574-2009
Recall Event ID 49510
Product Classification Operating Room Accessories Table Tray - Product Code FWZ
Product Open & Unused Items - This refers to a sterilization service provided by by SterilMed, Inc. (devices were not reprocessed) for Class 1 and Class 2 devices that were opened, most likely in O. R. suites, in which for whatever reason the physician elected to select a different type of device, different size of device, or maybe elected to not use the device at all in a procedure. This is not a process regulated by FDA, but is included in the recall process as product would still be considered misbranded and or represent a potential risk to patients.

Model #'s:
ABB6543-01
ABB6544-01
ACM23116
ACR800-499
ACU014719
ALL2N2704X
ALLASC1201
ALLF-5501
ALLSU130-404E
ARTAR-6530
ARTAR-6540
ARTAR-6560
ARTAR-6562
ARTAR-6564
ARTAR-6570
AUT054887
AUT059035
AUT059037
AUT174001
AUT8886803712
AUTGIA6025S
BAL60417
BAR0043620
BAR0070740
BAR0601110
BAR072231
BARBRD100R
BAX2C4005
BER610
BIO418200
BIO631031
BOUTC001NSKA
CARASU1510
COD26-1221
CON130309
CON130321
CON134006
CON1412
CON29410
CON29415H
CON29496
CON60-6085-100
CON8535
CON9413
CON9448
COO081012
COO081014
COOCTI-512N
COOTD-1
COOZSI1151
DAV0035280
DAV0043650
DEN50-7000
DEN50-7500
DER28-0211
DLP10012
EDWDSAFE61
EDWFEMII016A
ETH10BB
ETH2189
ETH2211
ETH5BB
ETH6TB45
ETHBTD05
ETHPMW35
ETHPRW35
ETHPXW35
ETHUV120
FUT4549
GUIOM-9000S
GUIXP-4000
GYR240060
GYR240072
GYR70138000
GYR7013-8100
GYR70140257
JOH2214
KEN31140240
KEN31140562
KEN8884720221
KEN8888505172
KIM111
KIM228
kim279
KIM311
KIM330
KIM345
KIM70321
KIM79043
KIM79870
KIM79878
KIM888
KIM89601
KIM95111
KIM95521
KIR10-4000
KIR10-4001
KIR14-3000
KRO6003
LIN9718
LINESA-5333
LINESA-5339
MECEPT03
MED05897/JP2311
MED10001S/JP10001
MED11348/DYNJP2500
MED14184/JP2414
MED14184A/JP2414A
MED21394P/JP2302P
MED2457S/JP8303
MED2505/JP2510
MED3110A/JP3003A
MED3110S/JP3003
MED3130S/JP3008
MED3140S/JP3005
MED3820A/JP3102A
MED3820S/JP3102
MED4202S/JP4003
MED6052-53
MED8610S/JP8005
MED91263
MED96570-021
MEDDYNJ01201H
MEDDYNJ05933
MEDDYNJO5933
MEDDYNJP8201
MEDSPT-2314/JP2314HD
MEG0012
MEG0020
MEG0035H
MEG0039H
MIC390-310
MIC6131
MIC6237
MIC670-308
MIC710-111
MIC81010
MPS5001689
OLS20-1410KI
ORSORS-300
Q2M20-1370
RMITF-3646-0
SMI4116
SMI4615
SMI4616
SMI71111579
SMI7204727
SMI72200195
SPIXDWIK28
STR1608-2-59
STR1608-2-63
STR206-16
STR206-546
STR250-070-530
STR250-070-540
STR275-802-000
STR306-553
STR350-202-000
STR3910-075-500
STR3910-075-501
STR3910-075-650
STR3910-075-651
STR3910-075-800
STR400-800
STR501-140-50
STR5120-103-15
STR606-563
STR620-030-301
STR620-030-407
STR620-30-301
SYN55.36E
SYNSDLB
TELDP-40K
TELMDP-40K
TER5842
TERL7328
TEX311033-000
USE00712031
VALE1450-6
VALE1510
VALE2350H
VALE2450H
VALE2505-10FR
VALE2515H
VALE2516H
WAL909009
WEC528235
WEL24-6001
XOM1014242
XOM10-46001
XOM1850200
XOM31-55631
XOM31-55632
XOM31-55636
XOM31-55637
XOM31-55638 and
XOM8225825

Code Information n/a
Recalling Firm/
Manufacturer
Sterilmed Inc
11400 73rd Ave N Ste 100
Osseo MN 55369-5562
For Additional Information Contact
763-488-3400
Manufacturer Reason
for Recall
SteriMed, Inc is conducting a product removal of a small group of devices individually packaged and sealed within a pouch. The removal is being conducted because the possibility exists that some of the pouches were not properly sealed on one end. A breach in packaging seal or a failure in packaging integrity has the possibility of risk to the patient in terms of transmitting organisms capable
FDA Determined
Cause 2
Packaging process control
Action Consignees were notified of the recall via verbal communication in person by on-site technician and or their local sales representative on 8/8/08. Others were contacted via fax or e-mail followed by on-site visits 8/11/08. SteriMed also provided consignees (Materials Manager/Risk Manager) with a "Urgent Product Removal" recall letter (August 14, 2008) in person informing them of the potential of receiving affected product. Included in the Product Removal Notification was a Customer Reply Form to inventory quantity of product received and quantity returned. Contact SterilMed, Inc. at 1-888-541-0078 for assistance.
Quantity in Commerce 469
Distribution AL, AZ, CA, CO, CT, FL, GA, IA, ID, IL, IN, KS, KY, MA, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NY, OH, OK, OR, PA, SC, SD, TN, TX, UT, WA, WI, and WV OUS: CANADA
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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