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U.S. Department of Health and Human Services

Class 2 Device Recall Dr. Landi EVLT Pack

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  Class 2 Device Recall Dr. Landi EVLT Pack see related information
Date Initiated by Firm January 11, 2017
Date Posted February 28, 2017
Recall Status1 Terminated 3 on May 03, 2017
Recall Number Z-1292-2017
Recall Event ID 76280
Product Classification Light, surgical, ceiling mounted - Product Code FSY
Product Dr. Landi EVLT Pack, part number AMS1483(E
Dr. Landi EVLT Pack, part number AMS1483(E
Code Information Lot number and expiration date  100007, 2/26/2019 100008, 2/3/2019 100009, 2/10/2019 100322, 4/2/2019 101129, 2/21/2019 84854, 12/26/2017 85111, 12/1/2017 86047, 12/19/2017 86791, 5/7/2018 88616, 5/13/2018 88617, 6/11/2018 88845, 6/12/2018 89076, 10/22/2018 89175, 10/7/2018 89568, 11/9/2018 89715, 11/25/2018 94567, 10/23/2018 97120, 12/7/2018 97562, 11/27/2018 97771, 11/27/2018 98014, 11/11/2018 98014, 11/11/2018 98160, 2/22/2018 98161, 11/21/2018 98162, 11/30/2018 98494, 2/13/2019
Recalling Firm/
Manufacturer
Windstone Medical Packaging, Inc.
1602 4th Ave N
Billings MT 59101-1521
For Additional Information Contact Vicki Davis
321-527-7714
Manufacturer Reason
for Recall
The Medtronic COVER LIGHT HANDLE DISPOSABLE GLOVES of the custom Aligned Medical Solutions (AMS) kits were recalled because gloves may contain splits or holes compromising sterility.
FDA Determined
Cause 2
Nonconforming Material/Component
Action AMS notified their consignees by Email, Fax, and Phone on 11/11/2017. AMS sent the notification letter, dated January 11, 2017, and provided yellow stickers "Recall Notice" to customers. They are advised to over-label the affected AMS kits at their facilities. Customers were instructed to place sticker in such a way that it would be immediately noticed but should not cover up or conceal any pertinent information such as Pack Number, Pack Name, Lot Number or Expiration Date on a kit. Customers with questions can call Vicki Davis at 321-527-7714 or send email to vdavis@alignedmedicalsolutions.com.
Quantity in Commerce 944 kits
Distribution Distributed in AZ, CA, CO, CT, FL, GA, IL, IN, KS, LA, MA, MD, MI, MN, MO, NC, ND, NE, NJ, NV, OH, PA, TX, UT, VA, and WA.
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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