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U.S. Department of Health and Human Services

Class 2 Device Recall Premier Guard Drape

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 Class 2 Device Recall Premier Guard Drapesee related information
Date Initiated by FirmJanuary 23, 2017
Create DateMarch 04, 2017
Recall Status1 Terminated 3 on August 07, 2019
Recall NumberZ-1409-2017
Recall Event ID 76327
510(K)NumberK041501 
Product Classification Cover, barrier, protective - Product Code MMP
ProductPremier Guard Drape, Sterile. For Use with Verisphere (01-0035) and ArQ.Sphere (01-0044) Item Number: 01-0037 Used in conjunction RF Surgical Gauze detection systems to protect scanning device from contamination during various surgical procedures
Code Information Lot Numbers: 1410577-4 to 1605778
Recalling Firm/
Manufacturer
Covidien LLC
60 Middletown Ave
North Haven CT 06473-3908
For Additional Information ContactSAME
203-492-5000
Manufacturer Reason
for Recall
Sterility compromised due to breach in sterile barrier
FDA Determined
Cause 2
Packaging process control
ActionMedtronic issued recall letter on January 23, 2017. Customers were notified via Federal Express and the letter instructed customers to discontinue use of the product and return all inventory to Medtronic (Covidien)  195 McDermott Road, North Haven, CT 06473 Attn: Field Returns Department.
Quantity in Commerce42,750 units
DistributionNationwide
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 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database510(K)s with Product Code = MMP
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