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U.S. Department of Health and Human Services

Class 2 Device Recall Integra LifeSciences

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  Class 2 Device Recall Integra LifeSciences see related information
Date Initiated by Firm October 14, 2011
Date Posted December 02, 2011
Recall Status1 Terminated 3 on March 08, 2012
Recall Number Z-0356-2012
Recall Event ID 60300
510(K)Number K081477  
Product Classification Light source, fiberoptic, routine - Product Code FCW
Product Integra Surgical Luxtec MLX Light Source
Catalog Numbers: 00MLX


Product Usage: The Integra Luxtec MLX Light Source is designed to supply high intensity white light through a fiber optic cable for illumination of a surgical field during a surgical and or medical procedure.
Code Information SN'S: P0103111 P0105711 P0106011 P0200111 P0200211 P0201111 P0201611 P0201811 P0202011 P0202111 P0202911 P0203111 P0203411 P0203711 P0203811 P0204011 P0204211 P0204311 P0204411 P0204611 P0204711 P0204811 P0204911 P0205211 P0205411 P0205511 P0205711 P0205611 P0205811 P0205911 P0206211 P0206311 P0206411 P0210711 P0212911 P0213811 P0213911 P0300211 P0300411 P0300711 P0300911 P0301011 P0301411 P0301511 P0301711 P0301811 P0302111 P0302311 P0302411 P0302511 P0302611 P0302711 P0302811 P0303011 P0303111 P0303211 P0303311 P0303511 P0303611 P0303711 P0304011 P0304111 P0304311 P0304411 P0304611 
Recalling Firm/
Manufacturer
Integra LifeSciences Corp.
311 Enterprise Dr
Plainsboro NJ 08536-3344
For Additional Information Contact
609-275-0500
Manufacturer Reason
for Recall
A loose screw may result in shifting of components and improper function of the turret or actuator assembly.
FDA Determined
Cause 2
Process control
Action Integra sent an URGENT: Field Corrective Action letter dated October 14, 2011 to all affected customers via FedEx. The letter identified the affected product, the problem, and the actions to be taken with instructions to immediately inspect their inventory for potentially loose screws within the affected unit(s). If the unit(s) were observed with loose screws, the unit(s) were to be returned to Integra Surgical for repair and servicing. Customers were instructed to complete the Acknowledgement and Return Form per the instructions on the form. For questions call Integra Surgical Customer Service at 1-800-431-1123.
Quantity in Commerce 66 units
Distribution Worldwide Distribution - USA (nationwide) including the states of: Arizona, California, Colorado, Florida, Indiana, Mississippi, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Montana, Washington, Wyoming, and Puerto Rico, and the countries of: Australia, Germany, Italy, Japan, Netherlands, New Zealand, Pakistan, Sweden, Switzerland, and Turkey.
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 = FCW and Original Applicant = INTEGRA LUXTEC, INC.
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