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U.S. Department of Health and Human Services

Class 2 Device Recall CODMAN RANEY SCALP CLIPS

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  Class 2 Device Recall CODMAN RANEY SCALP CLIPS see related information
Date Initiated by Firm June 01, 2021
Create Date August 06, 2021
Recall Status1 Terminated 3 on January 27, 2023
Recall Number Z-2224-2021
Recall Event ID 88312
Product Classification Clip, scalp - Product Code HBO
Product CODMAN RANEY SCALP CLIPS-Disposable cylindrical clips designed to provide hemostasis to the scalp wound edge.
Part Number: 201037
Code Information Lot Numbers: W2102045, W2102046, W2102048 and W2102049  GTIN# 10381780511625
Recalling Firm/
Manufacturer
Integra LifeSciences Corp.
1100 Campus Rd
Princeton NJ 08540-6650
For Additional Information Contact Lacey Gigante" Address: 1100 Campus Rd, Princeton, NJ 08540 " Telephone: 609-212-9004 " Email:
609-212-9004
Manufacturer Reason
for Recall
Packaging-pouches with wrinkles across the Tyvek side may compromise the integrity of the pouch's sterile barrier
FDA Determined
Cause 2
Process change control
Action Integra notified consignees (Hospitals, Government facilities, and Distributors) by letter via FedX 2 Day Mail on June 1, 2021 and email to Distributor. Letter states reason for recall, health risk and action to take: We request that you take the following actions: 1. Customers a. If you do have units of the affected product listed in Table 1, remove it immediately from service. b. If you do have affected product, check the box on the enclosed form I do have affected product. Record the total quantity of the affected product that you have. c. If you do not have affected product, check the box, I do not have affected product. d. Complete the attached Acknowledgement Form and return to FCA2@integralife.com or FAX to 1-609-750-4220. e. Keep a copy of the form for your records. f. When your form is received, and it is noted that you have affected product, Customer Service will contact you and provide a Return Material Authorization (RMA) number and directions to return the affected product. A replacement order will also be placed for the quantity noted on the form. 2. Distributors a. If you do have the affected product listed in Table 1, remove the product from further distribution. b. Complete the attached form. If you do not have affected product, check the box, I do not have affected product. c. If you do have affected product, check the box I do have affected product. Record the total quantity of affected product you have. d. Complete the attached Acknowledgement Form and return to FCA2@integralife.com or FAX to 1-609-750-4220. e. Keep a copy of the form for your records. f. Please check your customer traceability records for shipments of above catalog numbers. g. Forward a copy of the enclosed Field Safety Notice to any of your customers that have purchased the above catalog and lot number. h. When the form from you and your customer is received, and it is noted that you or your customer has affected product, Customer Service will co
Quantity in Commerce 906 units
Distribution US Nationwide Distribution - Foreign Distribution: Hong Kong
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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