Date Initiated by Firm | June 21, 2017 |
Create Date | August 10, 2017 |
Recall Status1 |
Terminated 3 on November 27, 2018 |
Recall Number | Z-2931-2017 |
Recall Event ID |
77500 |
510(K)Number | K140359 |
Product Classification |
Orthosis, spinal pedicle fixation - Product Code MNI
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Product | PALLAS M/MAXIMIS Poly Screw 5.5 x 35mm. Part of MAXIMIS Pedicle Screw Spinal Fixation System. Valorem Surgical, Chicago, IL. Product labeled as Pallas M Spinal Fixation System through 2015.
Intended for posterior pedicle screw fixation of the non-cervical spine. |
Code Information |
Catalog No. PS355-035; Known Lot No. WNV101201. |
Recalling Firm/ Manufacturer |
Valorem Surgical LLC 3963 W Belmont Ave Ste 9 Chicago IL 60618-5129
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For Additional Information Contact | Joseph Jin 312-852-2700 |
Manufacturer Reason for Recall | Devices are not consistent with Quality System Requirements. |
FDA Determined Cause 2 | Device Design |
Action | Valorem Surgical sent an Urgent Medical Device Recall letter dated June 21, 2017, informing consignees of the product removal and instructing consignees to return any product to Valorem Surgical LLC to minimize potential risk to patients. Consignees are to fill out the attached Medical Device Recall Return Response form and send it back to the firm by email at global.safety@ValoremSurgical.com or by fax at 312-275-7117, or by mail. For questions pertaining to this recall, please submit an email inquiry to global.safety@ValoremSurgical.com |
Quantity in Commerce | 2,225 units total |
Distribution | Nationwide Distribution - US including CA 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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510(K) Database | 510(K)s with Product Code = MNI
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