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U.S. Department of Health and Human Services

Class 3 Device Recall Mentor

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 Class 3 Device Recall Mentorsee related information
Date Initiated by FirmDecember 16, 2003
Date PostedJuly 20, 2004
Recall Status1 Terminated 3 on May 25, 2004
Recall NumberZ-0977-04
Recall Event ID 29132
Product Classification Plastic Surgery And Accessories Kit - Product Code FTN
ProductMentor Smooth Round Becker 50 Expander, manufactured by Mentor, Irving, Texas
Code Information Lot numbers 269402 and 264358
Recalling Firm/
Manufacturer
Mentor Texas, Inc
3041 Skyway Cir N
Irving TX 75038-3500
Manufacturer Reason
for Recall
Device was distributed without the dome part accessory, part number 350-DOMPK
FDA Determined
Cause 2
Other
ActionThe recall letters for Lot 269402 were sent on 12/16/2003. The recall letters for Lot 264358 were sent on 02/06/2004. Each letter included 5 dome pack accessories as a temporary corrective action.
Quantity in Commerce51 units
DistributionNationwide. Recalled product was shipped domestically to accounts in AZ, AR, CA, GA, IL, IN, KY, MD, MI, OH, OK, OR, TX, and NY. There was no foreign distribution.
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.
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