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Class 2 Device Recall Symmetry Surgical, CareFusion, Boss Instruments, Phoenix Instruments, Autobahn Surgical, etc. |
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| Date Initiated by Firm |
September 08, 2014 |
| Date Posted |
December 16, 2014 |
| Recall Status1 |
Terminated 3 on November 29, 2017 |
| Recall Number |
Z-0536-2015 |
| Recall Event ID |
69471 |
| Product Classification |
Valvulotome - Product Code MGZ
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| Product |
An external vein stripper is an extravascular device used to remove a section of a vein sold under the Symmetry Surgical, CareFusion, Boss Instruments, Phoenix Instruments, Autobahn Surgical, Echo Instruments, Millennium Surgical, B.B.M. Surgical Instruments, Stealth Surgical, Medline Industries, Medsaver M S I Precision, and Surgical Direct brand names. |
| Code Information |
1) Instrumed Product Name: Valvulotome 6 1/4" Retrograde; Instrumed Product Number: 500-05626; Trade Name: Symmetry Surgical; Symmetry Surgical Product Name: Valvulotome 6 1/4" Retrograde; Symmetry Surgical Item Number: 55-8685; Lot Numbers: 030412, 060413, 070513. 2) Instrumed Product Name: Valvulotome 6 1/4" Retrograde; Instrumed Product Number: 500-05626; Trade Name: CareFusion; CareFusion Product Name: Valvulotome 6 1/4" Retrograde; CareFusion Item Number: 55-8685; Lot Number: 070513. 3) Instrumed Product Name: Valvulotome 6 1/4" Retrograde; Instrumed Product Number: 500-05626; Trade Name: Boss Instruments; Boss Instruments Product Name: Valvulotome, retro, 6 1/4"; Boss Instruments Item Number: 65-7048; Lot Numbers: 030412, 060413, 070513, 110411. 4) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: Phoenix Instruments; Phoenix Instruments Product Name: Valvulotome, retro, 9 1/4" reverse angle; Phoenix Instruments Item Number: 155-8680; Lot Numbers: 020114, 050114, 060112, 120312. 5) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: Autobahn Surgical; Autobahn Surgical Product Name: Valvulotome, retro, 9 1/4" reverse angle; Autobahn Surgical Item Number: 352614A; Lot Number: 120312. 6) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: Echo Instruments; Echo Instruments Product Name: Valvulotome, retro, 9 1/4" reverse angle; Echo Instruments Item Number: 558-690; Lot Number: 070513. 7) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: Symmetry Surgical; Symmetry Surgical Product Name: Valvulotome, retro, 9 1/4" reverse angle; Symmetry Surgical Item Number: 155-8680; Lot Numbers: 020114, 030314, 050114, 060112, 060214, 070513, 110212, 120312. 8) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: Millennium Surgical; Millennium Surgical Product Name: Valvulotome, retro, 9 1/4" reverse angle; Millennium Surgical Item Number: 9-68680; Lot Numbers: 030314, 070513, 120312. 9) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: B.B.M. Surgical Instruments; B.B.M. Surgical Instruments Product Name: Valvulotome, retro, 9 1/4" reverse angle; B.B.M. Surgical Instruments Item Number: BBM8680; Lot Number: 060112. 10) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: Stealth Surgical; Stealth Surgical Product Name: Valvulotome, retro, 9 1/4" reverse angle; Stealth Surgical Item Number: SSV21161; Lot Numbers: 040513, 050114, 060112, 070513, 120312. 11) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: CareFusion; CareFusion Product Name: Valvulotome, retro, 9 1/4" reverse angle; CareFusion Item Number: VM76-8161; Lot Numbers: 020114, 030314, 050114, 070513, 110212, 120312. 12) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: Boss Instruments; Boss Instruments Product Name: Valvulotome, retro, 9 1/4"; Boss Instruments Item Number: 65-7050 ; Lot Numbers: 050214, 060112, 060214. 13) Instrumed Product Name: Valvulotome, retro, 9 1/4" reverse angle; Instrumed Product Number: 500-05631; Trade Name: Medline Industries; Medline Industries Product Name: VALVULOTOME, LEATHER, ANTEGRADE, 2.9 TIP 9.5"; Medline Industries Item Number: MDG0416536; Lot Number: 070513. 14) Instrumed Product Name: Valvulotome, retro, 12" cut edge 2 mm; Instrumed Product Number: 500-05636; Trade Name: Phoenix Instruments; Phoenix Instruments Product Name: Valvulotome, retro, 12" cut edge 2 mm; Phoenix Instruments Item Number: 155-8682; Lot Number: 070212. 15) Instrumed Product Name: Valvulotome, retro, 12" cut edge 2 mm; Instrumed Product Number: 500-05636; Trade Name: Autobahn Surgical; Autobahn Surgical Product Name: Valvulotome, retro, 12" cut edge 2 mm; Autobahn Surgical Item Number: 352613A; Lot Number: 070212. 16) Instrumed Product Name: Valvulotome, retro, 12" cut edge 2 mm; Instrumed Product Number: 500-05636; Trade Name: Medsaver M S I Precision; Medsaver M S I Precision Product Name: Valvulotome, retro, 12" cut edge 2 mm; Medsaver M S I Precision Item Number: 421637J; Lot Number: 110212. 17) Instrumed Product Name: Valvulotome, retro, 12" cut edge 2 mm; Instrumed Product Number: 500-05636; Trade Name: Symmetry Surgical; Symmetry Surgical Product Name: Valvulotome, retro, 12" cut edge 2 mm; Symmetry Surgical Item Number: 55-8682; Lot Numbers: 020413, 030314, 050114, 060413, 070212, 100313, 110212. 18) Instrumed Product Name: Valvulotome, retro, 12" cut edge 2 mm; Instrumed Product Number: 500-05636; Trade Name: Surgical Direct; Surgical Direct Product Name: Valvulotome, retro, 12" cut edge 2 mm; Surgical Direct Item Number: 9-68680001; Lot Numbers: 060413, 100313. 19) Instrumed Product Name: Valvulotome, retro, 12" cut edge 2 mm; Instrumed Product Number: 500-05636; Trade Name: Millennium Surgical; Millennium Surgical Product Name: Valvulotome, retro, 12" cut edge 2 mm; Millennium Surgical Item Number: SD8121.103; Lot Numbers: 050114, 060413. 20) Instrumed Product Name: Valvulotome, retro, 12" cut edge 2 mm; Instrumed Product Number: 500-05636; Trade Name: CareFusion; CareFusion Product Name: Valvulotome, retro, 12" cut edge 2 mm; CareFusion Item Number: VM76-8163; Lot Numbers: 020413, 030314, 050114, 060413, 070212, 080111, 100313, 110212. 21) Instrumed Product Name: Valvulotome, retro, 12" cut edge 2 mm; Instrumed Product Number: 500-05636; Trade Name: Boss Instruments; Boss Instruments Product Name: Valvulotome, retro, 12"; Boss Instruments Item Number: 65-7052; Lot Numbers: 050114, 060413. 22) Instrumed Product Name: Valvulotome, ante, 6 1/4"; Instrumed Product Number: 500-05656; Trade Name: Phoenix Instruments; Phoenix Instruments Product Name: Valvulotome, ante, 6 1/4"; Phoenix Instruments Item Number: 155-8681; Lot Number: 080111. 23) Instrumed Product Name: Valvulotome, ante, 6 1/4"; Instrumed Product Number: 500-05656; Trade Name: Symmetry Surgical; Symmetry Surgical Product Name: Valvulotome, ante, 6 1/4"; Symmetry Surgical Item Number: 55-8681; Lot Numbers: 030314, 040214, 060413, 070212, 080111, 120413. 24) Instrumed Product Name: Valvulotome, ante, 6 1/4"; Instrumed Product Number: 500-05656; Trade Name: Millennium Surgical; Millennium Surgical Product Name: Valvulotome, ante, 6 1/4"; Millennium Surgical Item Number: 9-68681; Lot Numbers: 040214, 060413. 25) Instrumed Product Name: Valvulotome, ante, 6 1/4"; Instrumed Product Number: 500-05656; Trade Name: B.B.M. Surgical Instruments; B.B.M. Surgical Instruments Product Name: Valvulotome, ante, 6 1/4"; B.B.M. Surgical Instruments Item Number: BBM8681; Lot Number: 050312. 26) Instrumed Product Name: Valvulotome, ante, 6 1/4"; Instrumed Product Number: 500-05656; Trade Name: Stealth Surgical; Stealth Surgical Product Name: Valvulotome, ante, 6 1/4"; Stealth Surgical Item Number: SSV21162; Lot Numbers: 060413, 070212. 27) Instrumed Product Name: Valvulotome, ante, 6 1/4"; Instrumed Product Number: 500-05656; Trade Name: CareFusion; CareFusion Product Name: Valvulotome, ante, 6 1/4"; CareFusion Item Number: VM76-8162; Lot Numbers: 030314, 040214, 060413, 120413. 28) Instrumed Product Name: Valvulotome, ante, 6 1/4"; Instrumed Product Number: 500-05656; Trade Name: Medline Industries; Medline Industries Product Name: Valvulotome, ante, 6 1/4"; Medline Industries Item Number: MDG546940; Lot Number: 060413. 29) Instrumed Product Name: Valvulotome, ante, 7"; Instrumed Product Number: 500-05660; Trade Name: Boss Instruments; Boss Instruments Product Name: Valvulotome, ante, 7"; Boss Instruments Item Number: 65-7051-7; Lot Numbers: 050314, 100313. 30) Instrumed Product Name: Valvulotome 9 1/4" Antegrade; Instrumed Product Number: 500-05664; Trade Name: Autobahn Surgical; Autobahn Surgical Product Name: Valvulotome 9 1/4" Antegrade; Autobahn Surgical Item Number: 352612A; Lot Number: 090412. 31) Instrumed Product Name: Valvulotome 9 1/4" Antegrade; Instrumed Product Number: 500-05664; Trade Name: Symmetry Surgical; Symmetry Surgical Product Name: Valvulotome 9 1/4" Antegrade; Symmetry Surgical Item Number: 55-8684; Lot Numbers: 020311, 070513, 090412. 32) Instrumed Product Name: Valvulotome 9 1/4" Antegrade; Instrumed Product Number: 500-05664; Trade Name: CareFusion; CareFusion Product Name: Valvulotome 9 1/4" Antegrade; CareFusion Item Number: VM76-8150; Lot Numbers: 070513, 090412, 100513. 33) Instrumed Product Name: Valvulotome 9 1/4" Antegrade; Instrumed Product Number: 500-05664; Trade Name: Boss Instruments; Boss Instruments Product Name: Valvulotome, ante, 9 1/4"; Boss Instruments Item Number: 65-7049; Lot Number: 070513. 34) Instrumed Product Name: Valvulotome 9 1/4" Antegrade; Instrumed Product Number: 500-05664; Trade Name: Medline Industries; Medline Industries Product Name: Valvulotome, Antegrade 9 1/4" ; Medline Industries Item Number: MDG0416566; Lot Number: 090412. 35) Instrumed Product Name: Valvulotome Antegrade, 12"; Instrumed Product Number: 500-05669; Trade Name: Boss Instruments; Boss Instruments Product Name: Valvulotome Antegrade, 12" ; Boss Instruments Item Number: 65-7053; Lot Numbers: 020114, 050114, 050312, 060413, 090412. 36) Instrumed Product Name: Valvulotome Antegrade, 12"; Instrumed Product Number: 500-05669; Trade Name: Phoenix Instruments; Phoenix Instruments Product Name: Valvulotome Antegrade, 12" ; Phoenix Instruments Item Number: 155-8683; Lot Number: 060413. 37) Instrumed Product Name: Valvulotome Antegrade, 12"; Instrumed Product Number: 500-05669; Trade Name: Symmetry Surgical; Symmetry Surgical Product Name: Valvulotome Antegrade, 12" ; Symmetry Surgical Item Number: 55-8683; Lot Number: 020114, 050312, 060413. |
Recalling Firm/
Manufacturer |
Instrumed International, Inc.
626 Cooper Ct
Schaumburg IL 60173-4537
|
| For Additional Information Contact |
Ms. Jennifer S. Staunton
847-908-6119
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Manufacturer Reason
for Recall |
The reason these devices are being withdrawn from the market by Instrumed is that Instrumed did not market these devices prior to September 26, 1976, and therefore, does not meet all FDA requirements to market the devices as "Pre-Amendment" devices.
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FDA Determined
Cause 2 |
No Marketing Application |
| Action |
Instrumed sent an URGENT: MEDICAL DEVICE MARKET WITHDRAWAL letters dated October 9, 2014 to all affected customers. The letter included instructions for customers to: 1) examine their inventory to determine if there are any recalled devices; 2) complete and return the enclosed Confirmation Request Form; 3) return the recalled devices; and 4) share the recall information with facility staff. Customers with questions were instructed to contact Instrumed by telephone at 847-908-6119. |
| Quantity in Commerce |
479 valvulotomes |
| Distribution |
Nationwide Distribution including AZ, CA, FL, IL, KS, MI, NC, OH, PA, TN, TX, and VA. |
| 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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