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U.S. Department of Health and Human Services

Class 2 Device Recall Proxima Set Up Pack III

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 Class 2 Device Recall Proxima Set Up Pack IIIsee related information
Date Initiated by FirmMarch 30, 2006
Date PostedApril 19, 2006
Recall Status1 Terminated 3 on May 09, 2006
Recall NumberZ-0777-06
Recall Event ID 35123
Product Classification General Surgery Tray - Product Code LRO
ProductProxima Sterile, Disposable Set Up Pack III, Reorder DYNJP1047; a sterilized convenience kit for surgical procedures comprised of 2 Aurora Gowns, 1 Mayo stand cover, 10 O.R. towels and 1 table cover; 5 kits per case; Manufactured for Medline Inductries, Inc., Mundelien, IL 60060 U.S.A., Made in China
Code Information Reorder number DYNJP1047, lot 5149116
Recalling Firm/
Manufacturer
Medline Industries, Inc.
1170 S Northpoint Blvd
Waukegan IL 60085-6757
For Additional Information ContactCustomer Service
800-633-5463
Manufacturer Reason
for Recall
The product may not be sterile. The pouches were damaged during sterilization.
FDA Determined
Cause 2
Other
ActionThe direct account hospital was visited by a Medline sales representative on 3/30/06, and the affected product was retrieved and returned to Medline.
Quantity in Commerce21 cases
DistributionTexas
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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