Date Initiated by Firm |
September 22, 2021 |
Create Date |
November 05, 2021 |
Recall Status1 |
Open3, Classified |
Recall Number |
Z-0211-2022 |
Recall Event ID |
88818 |
510(K)Number |
K072474
|
Product Classification |
Dressing, wound, drug - Product Code FRO
|
Product |
QuikClot Combat Gauze-For Temporary External Use To Control Traumatic Bleeding Model / Part# 200
|
Code Information |
Lot# 12645
UDI I Primary DI Number: 00841495102004 |
Recalling Firm/ Manufacturer |
Z-Medica, LLC 4 Fairfield Blvd Wallingford CT 06492-1857
|
For Additional Information Contact |
SAME 203-294-0000 Ext. 230
|
Manufacturer Reason for Recall |
Lack of Packaging seal integrity may result in a sterile barrier breach.
|
FDA Determined Cause 2 |
Under Investigation by firm |
Action |
Z-Medica notifed the customer via email on Wednesday 9/22/2021 and requested to place the products on hold. A formal notification letter was sent to the customer
on 9/23/2021. Letter states reason for recall, health risk and action to take:
We are requesting that you return all units of lot 12645 to Z-Medica, LLC ( 4 Fairfield Boulevard,
Wallingford, CT 06492, ATTN: Recall - Regulatory Affairs).
Please and return the attached Acknowledgement Form via email to joseph.azary@teleflex.com.
If you have distributed any units of this lot number, please contact your customers and arrange for return of these units from lot 12645.
Should you have any questions about this information please contact me at (203) 774-5686 or by email at joseph.azary@teleflex.com.
issued Urgent Medical Device Recall letter |
Quantity in Commerce |
2400 units |
Distribution |
US Nationwide distribution in the state of NC. |
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 = FRO and Original Applicant = Z-MEDICA CORPORATION
|