Class 2 Device Recall HEALICOIL RSB SA 4.75MM W/1 UT & 1 UB BL Absorbable Suture anchor

• Date Initiated by Firm: September 09, 2020
• Create Date: October 21, 2020
• Recall Status: Open, Classified
• Recall Number: Z-0168-2021
• Recall Event ID: 86462
• 510(K)Number: K151105
• Product Classification: Fastener, fixation, biodegradable, soft tissue - Product Code MAI
• Product: HEALICOIL RSB SA 4.75MM W/1 UT & 1 UB BL-- Absorbable Suture anchor; Product Number: 72203704
• Code Information: Batch Numbers: 2014657 2013922 2013943 2013986 2016204 2016148 2016205 2016243 2017825 2017855 2017857 2018810 2018751 2018750 2021052 2020060 2020061 2020062 2021397 2021459 2021463 2023236 2023281 2023282 2023341 2024779 2024736 2024781 2024825 2024827 2025052 2025053 2024829 2025199 2025201 2025430 2027466 2027433 2027499 2029348 2029349 2029397 2029396 2027404 2030950 2030951 2031020 2031021 2031154 2031155 2032822 2032823 2033289 2033288 2034424 2034425 2034497 2035498 2035499 2035535 2035536 2034496 2036303 2036304 2034494 2034495 2036723 2037189 2037149 2037150 2038326 2038327 2038468 2038467 2038802 2039670 2039262 2039450 2039608 2040107 2041200 2041069 2042595 2042596 2042775 2042776 2045868 2048386 2048387 2048388 2048389 2049911 2049912 2049907 2049909 2049910 2049908 2052168 2053908 2053909 2053910 2053911 2056075 2056076 2056077 2056078 2056079 2056425
• Recalling Firm/ Manufacturer: Smith & Nephew, Inc.; 150 Minuteman Rd; Andover MA 01810-1031
• Manufacturer Reason for Recall: Product packaging improper or incomplete seal of the pouch surrounding the sterile product may result in a breach of the sterile barrier created by the pouch
• FDA Determined Cause: Equipment maintenance
• Action: Smith & Nephew issued Urgent Medical Device Recall letter (R-2020-19) FSN on September 9, 2020 via email or overnight mail to customers that received affected products. Letter states reason for recall, health risk, and action to take: Required Actions: 1. Please inspect your inventory and locate any devices from the listed product and batch numbers enclosed with this Urgent Medical Device Recall Notice, and quarantine them immediately. a. If you are a sales rep or distributor, you must notify your customers of the field action and ensure that the required actions are complete. b. Include the customers account number and name in the table below. 2. If you have no product to return, please put an X in the appropriate location below. 3. If you have product to return, please list the item, batches and quantities that you are returning in the appropriate boxes below. 4. Complete the remainder of the form, sign and send to FieldActions@smith-nephew.com. Please Note  even if you have no product to return, this form must be completed, signed and returned. 5. Once the form is received by Smith & Nephew, you will be sent a Return Authorization (RA) number. If you have any questions or concerns regarding this recall please contact FieldActions@smith-nephew.com.
• Quantity in Commerce: 263,874 (total)
• Distribution: Nationwide Foreign: AE, AT, AU, BE, BM, BR, CA, CH, CL, CN, CO, CY, CZ, DE, DK, DO, EC, EE, ES, FI, FR, GB, GE, GR, HK, HU, IE, IL, IN, IT, JP,KR, LV,MY, NL, NO, PA,PE, PL, PR, PT, RU, SE, SG, SI, TH, TR, TW, UA, & ZA
• 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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.

• 510(K) Database: 510(K)s with Product Code = MAI and Original Applicant = Smith & Nephew, Inc.