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U.S. Department of Health and Human Services

Class 2 Device Recall Anjon Bremer Molded Crown

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 Class 2 Device Recall Anjon Bremer Molded Crownsee related information
Date Initiated by FirmJune 18, 2020
Create DateAugust 10, 2020
Recall Status1 Terminated 3 on November 25, 2020
Recall NumberZ-2778-2020
Recall Event ID 85958
510(K)NumberK193256 
Product Classification Component, traction, invasive - Product Code JEC
ProductAnjon Bremer Molded Crown. bone fixation fastener for spinal use. REF number 100048 - Product Usage: Smooth or threaded metallic bone fixation fastener. Provides cervical spine immobilization and therapeutic traction for treatment of patients with cervical trauma or other neck conditions.
Code Information REF number 100048 Lot # 170240, US customer Lot # 170162, 170163, 70164,170165, 170229, 170240, 170247, 170260 and SM 42048. International customers.
Recalling Firm/
Manufacturer
Anjon Holdings
4801 Dawin Rd
Jacksonville FL 32207-9512
For Additional Information ContactKen Collins
904-730-9373
Manufacturer Reason
for Recall
High rate of galling of one threaded component.
FDA Determined
Cause 2
Device Design
ActionThe one unit released into the United States has already been returned, unused, to Anjon. No uncorrected product remains in distribution or in use in the USA. No units subject to the failure mode have been released into distribution within Japan. All units shipped to Japan are being either returned to Anjon for reprocessing to remove the failure mode; or are to corrected by the addition of the instruction to use sterile surgical lubricant on the thread of the Slider. JMDM is the license holder for the product within Japan and will not release the product until resolution to its satisfaction of the issue.
Quantity in Commerce249 devices
DistributionWorldwide distribution - US Nationwide distribution including in the state of MI and the country of Japan for training purposes.
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 = JEC
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