| Class 2 Device Recall Endoscopic Kittner |  |
Date Initiated by Firm | June 03, 2024 |
Date Posted | June 27, 2024 |
Recall Status1 |
Open3, Classified |
Recall Number | Z-2221-2024 |
Recall Event ID |
94778 |
510(K)Number | K913500 |
Product Classification |
Laparoscope, general & plastic surgery - Product Code GCJ
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Product | Endoscopic Kittner Blunt Dissecting Instrument, Intended to be used for blunt dissection of tissue, Model Number KT-9101 |
Code Information |
UDI-DI: 00840113214006;
Lot Numbers: 389571, 389576, 390981, 390982 |
Recalling Firm/ Manufacturer |
ASPEN SURGICAL 5120 Beltway Dr Se Caledonia MI 49316
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Manufacturer Reason for Recall | The affected products may have been packaged with a defect in the sterile barrier seal. As a result, the integrity of the sterile barrier may be compromised. |
FDA Determined Cause 2 | Process control |
Action | An URGENT: FIELD SAFETY NOTICE (Removal) dated 6/3/24 was sent to customers.
Required Actions:
Note: Any further distribution or use of the impacted product should cease immediately.
1. Check all storage and usage locations to confirm if you have any lots of the affected item code in your possession.
2. Distributors Please check your inventory for affected products as indicated above. For products that you have distributed, please forward this notification to your customers who have received affected product. Please also provide to Aspen a list of customers who have received these products, including the number of each product and contact information for each customer, to christi.fortenberry@aspensurgical.com.
3. Review, complete, sign and return the enclosed Acknowledgement Form on Page 3 by following the directions on the form. This will help us verify that you have been successfully supported by this corrective action.
4. Return any affected product found in your inventory. Your sales representative can assist with a Return Material Authorization of affected product if needed.
5. Contact Christi Fortenberry at christi.fortenberry@aspensurgical.com or 615.785.5933 for information on credit or replacement options.
6. Share this notice with others in your facility who need to be aware of this removal. Contact other facilities associated with your organization that may have received units of affected lots.
7. Maintain awareness of this notice until all affected product has been returned to Aspen Surgical.
8. Keep a copy of this notice with affected product until returned to Aspen.
Please complete this Acknowledgement of Receipt form and email to christi.fortenberry@aspensurgical.com within 24 hours of receipt.
Please contact your Aspen representative if you have any questions or require additional information. |
Quantity in Commerce | 1900 units |
Distribution | US Nationwide |
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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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510(K) Database | 510(K)s with Product Code = GCJ
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