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U.S. Department of Health and Human Services

Class 2 Device Recall GEOMED BASIC CYSTO PACK

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  Class 2 Device Recall GEOMED BASIC CYSTO PACK see related information
Date Initiated by Firm February 07, 2011
Date Posted May 20, 2011
Recall Status1 Terminated 3 on August 06, 2014
Recall Number Z-2230-2011
Recall Event ID 58675
Product Classification Tray, surgical - Product Code LRP
Product Kits and Trays containing lubricant:
GEO-MED BASIC CYSTO PACK, V A CENTRAL PLAINS HEALTH NET, REF 50-13272.05, Rx Only, STERILE EO, Distributed by Geo-Med, LLC, 478 Altamonte Drive, Ste. 108, PMB 235, Altamonte Springs, FL 37201; GEO-MED CYSTO PACK PGYBK, V A MED CTR COLUMBIA, Rx Only, STERILE EO, Distributed by Geo-Med, LLC, 478 Altamonte Drive, Ste. 108, PMB 235, Altamonte Springs, FL 37201; GEO-MED CYSTO HYDRO II PACK, VAMC-NORTHPORT, Rx Only, STERILE EO, Distributed by Geo-Med, LLC, 478 Altamonte Drive, Ste. 108, PMB 235, Altamonte Springs, FL 37201; GEO-MED GU TUR BASIN SET PGYBK, V A MED CTR BAY PINES - C, Rx Only, STERILE EO, Distributed by Geo-Med, LLC, 478 Altamonte Drive, Ste. 108, PMB 235, Altamonte Springs, FL 37201; GEO-MED CYSTO HYDRO II PACK, VA MEDICAL CENTER - BRONX, Rx Only, STERILE EO, Distributed by Geo-Med, LLC, 478 Altamonte Drive, Ste. 108, PMB 235, Altamonte Springs, FL 37201; GEO-MED ORTHO PACK A&B, VA MEDICAL CENTER - BRONX, Rx Only, STERILE EO, Distributed by Geo-Med, LLC, 478 Altamonte Drive, Ste. 108, PMB 235, Altamonte Springs, FL 37201; DeRoyal (R) CARDIOVASCULAR DRAPE, MERITCARE HOSPITAL, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) CYSTO PACK, ST. MARY'S¿MED CTR, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) MAJOR CYSTO TRAY, BRYAN LGH MED CENTER EAST, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) URETHRAGRAM TRAY 20/CS, NORTH MISSISSIPPI MED CTR, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) PELVIC EXAM TRAY, BAPTIST MEMORIAL OXFORD, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) TUR PACK PGYBK 5/CS, PHOEBE PUTNEY MEM HOSP, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) LABOR AND DELIVERY TRACECART (R), KEESLER MED CTR, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) PHASE ONE DELIVERY TRACECART, TALLAHASSEE MEM REGNL CTR-AMT, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) CYSTO PACK, HOLLAND COMMUNITY HOSPITAL, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) GU MINOR, MIDDLESEX MEMORIAL HOSP, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) CYSTO TRAY, ST ANTHONYS HOSPITAL, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) T V H TRAY, PHOEBE PUTNEY MEM HOSP, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) LTC/LAP TRAY, PHOEBE PUTNEY MEM HOSP, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) LAP GYN TRAY, COFFEE REGIONAL MED CTR, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) RADICAL PROST TRAY PGYBK, HAYS MEDICAL CENTER, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) D&C GYN PACK, HIGH POINTE SURG CTR, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) CRYO TRAY PGYBK, MIDTOWN SURG CTR, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) CYSTO TRAY, HOUSTON MEDICAL CTR, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849, USA; DeRoyal (R) CYSTO TRAY, UNIV ARKANSAS MED LITTLE ROCK, Rx Only, STERILE EO, Manufacturer: DeRoyal Industries, In
Code Information REF 50-13272.05; Lot Numbers: 17739282, 18176434, 18472233, 18812517, 19020546, 19187135, 19516744, 20175043, 20429998, 20494394, 20886460, 22346424, 22730047, 22821900, 23335313, 23615260, 24004698, 24338081; REF 89-5721.02; Lot Numbers: 17637745, 18026233, 18026241, 18081398, 18120801, 18120836, 18137363, 18179580, 18270594, 18336750, 18692682, 19052599, 19520209, 19684545, 19703890, 20210291, 20561454, 20893416, 21412776, 21559479, 22188024, 23002893, 23340948, 23534654, 23951183, 24294226; REF 89-6353.03; Lot Numbers: 16174769, 16174793, 16174806, 16407833, 18271167, 18410809, 18497262, 18639208, 18661122, 18867024, 19103261, 20501056, 21186406, 21652702, 22059951, 22124741, 22736713, 23699328, 24075699, 24233677, 24868171; REF 89-6425.03; Lot Numbers: 19569432, 19569459, 19569467, 19623929, 19686014, 19686022, 20502260, 20683970, 20895518, 21113186, 21375258, 21653650, 22021363, 22060434, 22188585, 22319101, 22437431, 22737661, 22924175, 23427461, 23623083, 23880590, 24010895, 24162493, 24578659, 24750594, 24827723; REF 89-6428.01; Lot Numbers: 16808282, 18591611, 18867534, 18966006, 19685476, 20013925, 20040771, 20179255, 20501427, 20894777, 21112933, 21653019, 22020889, 22083361, 22188323, 22506272, 22737020, 23235996, 23535711, 24076018, 24294955, 24578341, 24600617, 24776524; REF 89-6431.03; Lot Numbers: 17885503, 18146825, 18271491, 18411051, 19521041, 19685661, 19778242, 19824819, 20133118, 20179360, 20683460, 21058973, 21375178, 21653297, 22021110, 22188446, 22437246, 22590021, 22737273, 22965031, 23236180, 23236198, 24076237, 24162160, 24600692, 24827230; REF 50-12770.12; Lot Numbers: 17679267, 18007518, 18078455, 18104844, 18495216, 18810706, 19018489, 19186749, 19568595, 19673598, 19727656, 19776191, 20006637, 20173700, 20884270, 21053081, 21529018, 21813019, 21881433, 21978198, 22203811, 22286821, 22412612, 22582822, 22609440, 22821601, 23945445, 24229150, 24427324, 24745082, 25022978; REF 50-13049.13; Lot Numbers: 17634000, 17879841, 18495689, 18812365, 19900463, 20231404, 21054315, 21530211, 21645502, 22082107, 22261957, 22729986, 23198435, 23419488, 23777947, 24428845, 24853981; REF 50-5297.12; Lot Numbers: 17434198, 17902941, 18075895, 18183116, 18408725, 18452056, 18496729, 18496737, 18677440, 19023739, 19419805, 19496704, 19681168, 19901562, 20176901, 20232423, 20678855, 20890573, 21513260, 21648922, 21923568, 22018201, 22082828, 22586858, 22822451, 22938892, 23233202, 23422521, 23532552, 23838199, 24073247, 24158304, 24431770, 24575976, 24854916; REF 50-8069.03; Lot Number 17701102; REF 50-9269.02; Lot Numbers: 17374463, 18108933, 18217259, 18405153, 18495005, 18856691, 19412419, 19672253, 20283909; REF 50-9329.21; Lot Numbers: 18910336, 19023851, 19419987, 19681715, 19828861, 19869970, 20011356, 20232491, 20461154, 20679014, 20758054, 22610547, 22757282, 22822486, 22872547, 23422679, 23532683, 24369064, 24576047, 24775329, 24806789; REF 53-1930.01; Lot Numbers: 24884461, 25014468, 25015428, 25055227; REF 53-1736.06; Lot Numbers: 18118058, 18118066, 18118074, 18272995, 18273015, 18273023, 18339678, 18339686, 18339694, 18421006, 18421014, 18421022, 18539830, 18539848, 18564509, 18564517, 18564525, 18656438, 18656446, 18782004, 18782012, 18782021, 18871023, 18871031, 18871040, 18871058, 18969944, 18969952, 19030736; REF 89-0882.10; Lot Numbers: 17964092, 18074788, 18273912, 18341073, 18405188, 18676631, 19447902, 19672333, 19800294, 20230920, 20882573, 21003711, 21109267, 21314981, 21528058, 21642011, 22231475, 22788783; REF 89-2156.07; Lot Numbers: 17901420, 18074796, 18217304, 18273921, 18495072, 18533551, 18657094, 18809078, 19016707, 19412591, 20004720, 20036924, 20172942, 20491214, 20911928, 21109312, 21642070, 21861408, 22392981, 22727358, 22937611, 23416332, 23775790, 24002393, 24517709; REF 89-2422.11; Lot Numbers: 17615714, 18049857, 18217312, 18341137, 18495099, 18586302, 18809094, 19186474, 19412603, 19672413, 20004771, 20369948, 21052248, 21812331, 21861432, 22013646, 22034877, 22081788, 22581774, 22937638, 23416359, 24287093, 24426410; REF 89-2670.12; Lot Numbers: 17913404, 18214998, 18553674, 18861263, 19068751, 19417181, 19828342, 20008958, 20494968, 21054729, 21385860, 21530641, 21814521, 22140864, 22394012, 22636931, 23055274, 23335727, 23778270, 23873939, 24156296, 24356044, 24429477, 24795389; REF 89-2671.14; Lot Numbers: 17880340, 18176565, 18215000, 18451467, 18620478, 18861271, 19068769, 19187338, 19322405, 19417199, 19676254, 19777004, 20008966, 20231931, 20675911, 20712890, 20782118, 20887155, 20912390, 21004490, 21297552, 22016311, 22394021, 22730637, 22871501, 23188333, 23420008, 23470865, 23693778, 24230329, 24518971, 24662105; REF 89-2688.08; Lot Numbers: 17347676, 18183440, 18474301, 18497019, 18815751, 19044222, 19325825, 19642513, 19881493, 20011751, 21005370, 21457907, 21649597, 22058721, 22100969, 22347101, 24576477; REF 89-2817.07; Lot Numbers: 17964519, 18029725, 18183511, 18183520, 18712743; REF 89-3064.07; Lot Numbers: 17463167, 17617699, 18183909, 18342439, 18474212, 18712567, 19325649, 19881354, 20208781, 21005302, 21056919, 24102984, 24650825; REF 89-3129.02; Lot Numbers: 21649431, 21875543, 22177165, 22347048, 22624308; REF 89-3145.10; Lot Numbers: 17901489, 17974266, 18181524, 18283766, 18405241, 18469878, 18553033, 18586361, 18907831, 18977549, 19050219, 19150578, 19336621, 19447937, 19479058, 19514554, 19672499, 19810038, 19876838, 20204756, 20491329, 20537665, 20672015, 20818504, 20882805, 20954240, 21052299, 21143852, 21182907, 21421138, 21469924, 21642176, 22013718, 22013726, 22122666, 22260954, 22377001, 22434150, 22581871, 22727471, 22780571, 22917725, 23222255, 23416455, 23527817, 23775896, 24002529, 24287165, 24426495, 24572695, 24744274, 24896913; REF 89-3251.08; Lot Number 18008035; REF 89-3179.01; Lot Numbers: 17663337, 17880518, 18176725; REF 89-3423.03; Lot Numbers: 17348273, 17617912, 17643336, 18474431, 19196509, 19326001, 19683147, 20392777, 20498651, 21005425, 21319281, 22018789, 22399454, 24243859; REF 89-3448.03; Lot Numbers: 17481461, 17877520, 18135499, 18349606, 18406252, 18587014, 18858697, 18951841, 19050753, 19414289, 19751875; REF 89-3802.04; Lot Numbers: 17904399, 17904401, 18014081; REF 89-3805.12; Lot Numbers: 17739493, 17780568, 17841906, 17989038, 18456348, 18475240; REF 89-3825.13; Lot Numbers: 17779698, 17988481, 18025821, 18080070, 18177146, 18269219, 18335482, 19021776, 19101311, 19131633, 19322915, 19715410, 20009361, 20325638; REF 89-3861.10; Lot Numbers: 16404894, 17635168, 18861861, 19322958, 20207252, 21004705, 21055115, 24932241; REF 89-4260.08; Lot Numbers: 19022103, 19323344, 19337851, 19517501, 19677142, 20009598, 21647065, 22244452, 22346678, 22981364, 23066571, 23230626, 23779272, 24072076, 24519202, 24575001, 24854457; REF 89-4272.03; Lot Numbers: 17635467, 18155668, 18177550, 18473113, 18862135, 19225402, 20495952, 21947156, 22057665, 22585311, 24006061, 24290903; REF 89-4340.02; Lot Numbers: 17881351, 18177605, 18384760, 18473201, 18559961; REF 89-4401.01; Lot Numbers: 6514997, 17349170; REF 89-4431.04; Lot Numbers: 17477631, 17672209, 17802106, 18029320, 18181778, 18274000, 18525593, 18535484, 18535492, 18659209, 18862266, 19022322, 19101581, 19418263, 19517755, 19801385, 19915761, 20009791, 20207746, 20370498, 20496226; REF 89-4811.07; Lot Numbers: 18474829, 18864595, 19326490, 19519224, 20177858, 20499232, 20758492, 21057541, 21816834, 22019221, 22187638, 22216275, 22414079, 22470708, 22734718, 22922209, 23234256, 23620165, 23950383, 24025641, 24074178, 24253942, 24293338; REF 89-5197.01; Lot Numbers: 15836855, 18178552, 18473949, 19383451, 19518299, 20010492, 21338713, 21686777, 21840084, 22058393, 22732464, 22872230, 23015504, 23189424, 23258987, 23337685, 23532026, 23948777; REF 89-5434.03; Lot Numbers: 17964711, 18077401, 18185912, 18343247, 18691268, 18857029, 19017013, 19318756, 19514722, 19877048, 20491492, 20883111, 21315221, 21642504, 21837133, 22377191, 22917987, 23222651, 23690825.23944784, 24287333, 24517848; REF 89-5579.02; Lot Numbers: 17905623, 18001298; REF 89-5645.01; Lot Numbers: 17857991, 18475531, 18816964, 19120900, 21023957, 21599147, 21651582, 21817263, 21841360, 22059530, 23066985; REF 89-5702.01; Lot Numbers: 17882978, 18179184, 18475670, 18911144, 19026121, 19214851, 19327425; REF 89-5747.04; Lot Numbers: 17883330, 17989476, 18137241, 18270471, 18410104, 18410112, 18536891, 18660496, 18817473, 18896001, 19032969, 19033321, 19033339, 19033347, 19033355; REF 89-5753.03; Lot Numbers: 17781051, 17931549, 18081283, 18137275, 18179432, 18336602, 18475944, 18817529, 18896010; REF 89-5907.01; Lot Numbers: 15560924, 15817321; REF 89-5952.02; Lot Numbers: 17632012, 17679531, 17878151, 17929852, 17987358, 18078834, 18175247, 18268030, 18334316, 18406615, 18406631, 18450958, 18471370, 18534385, 18587276, 18709667, 18859180, 18931356, 19019060, 19050913, 19151642, 19248701, 19414908, 19414916, 19515856, 19878366, 20037687, 20492971, 20673923, 21004043, 21315853, 21470520, 21644235, 21921618, 22014913, 22056443, 22122965, 22272269; REF 89-6003.01; Lot Numbers: 17901761, 18013643, 18182017, 18405524, 18533841, 18857416, 19050374, 19413198, 19590557, 19672907, 19776028, 19877419, 20037206, 20378828, 20537905, 20712241, 20883509, 21052707, 21315360, 21528613, 21837361, 22055862, 22377458, 22727905, 22870509, 23066256, 23223071, 23612739, 24287632; REF 89-6060.02; Lot Numbers: 17347334, 17616119, 18315140, 18405882, 18450624, 18470676, 19050454, 19319281, 20324918, 20491919, 23417167, 23691166, 24821305; REF 89-6071.06; Lot Numbers: 17917966, 17935566, 17973925, 17973933, 18000279, 18029371, 18075300, 18217443, 18274229, 18283918, 18283926, 18341444, 18355408, 18419432, 18450472, 18657369, 19017603, 19413374, 19590581, 19751533, 20006282, 20672736, 20883648, 21109582, 21643021, 22014121, 22215563, 22315960, 22727999, 22780722, 23612835, 24153992, 24337610, 24572986, 24773753; REF 89-6169.02; Lot Numbers: 17867882, 17878813, 17878821, 18146171, 18175896, 18231325, 18334720, 18349868, 18349876, 18407010, 18471695, 18534730, 18691621, 18709991, 18859868, 18931751, 19320830, 19674540, 19800770, 19878593, 20125572, 20206161, 20517832, 20674387, 21183619, 21337340, 21813588, 22015174, 22503725, 23225253, 23418549, 23872506, 24155031, 24288678, 24518470, 24573655, 24745550, 24853649, 24897588; REF 89-6219.01; Lot Numbers: 17879058, 17879066, 17930255, 17987868, 18079255, 18136037, 18176047, 18268574, 18319351, 18334789, 18534781, 18572859, 18587858, 18638070, 18658441, 19019713, 19100837, 19415564, 19674611, 19810636, 20174403, 20493455, 20756681, 21053654, 21337358, 21529624, 21813668, 22015300, 22261711, 22729185, 22849398, 23225510, 23418696, 23692433, 24070521, 24070521, 24229627, 24573719, 24774203; REF 89-6225.03; Lot Numbers: 18176063, 18384591, 18633084, 18676957, 18710115, 19019772, 19051182, 19415610, 20007533, 20240554, 20756690, 21053697, 21529659, 21838347, 22378338, 22729231, 23872750, 24229651, 24573751; REF 89-6256.04; Lot Numbers: 17388857, 17884771, 17932023, 17990160, 18180185, 18271036, 18476613, 18537391, 18866777, 18866793, 18979544, 19027131, 19037276, 19052821, 19121232, 19188867, 19188875, 19215351, 19250430, 19328401, 19544841, 19544850, 19685089, 20132473, 20179028, 20894144, 20957424, 21112853, 21559621, 22124661, 22318597, 22589400, 22736465, 22923359, 23341457, 23621918, 24009827, 24294541; REF 89-6257.05; Lot Numbers: 17932015, 17990151, 18081873, 18137662, 18180177, 18271028, 18337162, 18350851, 18476605, 19037233, 19037241, 19103181, 19423450, 19544833, 19812156, 20132457, 20179001, 20179010, 20326809, 20379433, 20500846, 20540194, 20682539, 20801892, 21112845, 21320556, 21423141, 21458029, 21535899, 21698057, 22059847, 22110665, 22188163, 22264314, 22436913, 22589397, 22923341, 23002957, 23426012, 23535219, 23621897, 23699117, 23879142, 24009801, 24009819, 24019267, 24161546, 24311567, 24750009, 24899671; REF 89-6262.06; Lot Numbers: 17884594, 17990080, 18146817, 18215501, 18337138, 18350834, 18350842, 18410690, 18476550, 18476568, 18497238, 18537341, 18591224, 18633981, 18866726, 19027086, 19027094, 19103157, 19423361, 19481730, 19520524, 19685038, 20013546, 20178957, 20326796, 20430841, 20500791, 20894064, 20894072, 21006022, 21186289, 21305575, 21340143, 21423125, 21535830, 21652438, 21777290, 21841829, 22020512, 22020521, 22124653, 22736385, 22757451, 22822865, 23031459, 23621803, 24075411, 24233511, 24294496, 24577971, 24749972; REF 89-6406.03; Lot Numbers: 17885255, 17932226, 17990477, 18008713, 18082180, 18180610, 18271360, 18350914, 18476859, 18867438, 19027537, 19052978, 19339469, 19423935, 19456294, 19685433,20040755, 20132852, 20210806, 20410390, 20683128, 20894689, 21305701, 21652930, 21817941, 22020854, 22124813, 22318757, 22736967, 22783270, 22923682, 23235937, 23260833, 23342054, 23342054, 23426653, 23622419, 24010262, 24010262, 24075939, 24294867, 24294875, 24578296, 24631042, 24631042, 24650956, 24750295; REF 89-6727.02; Lot Number: 19956248, 20211551, 20327318, 20502673, 21585749, 21777417, 21794655, 22383022, 22924280, 23236526, 23880899, 24295544; REF 89-6564.01; Lot Numbers: 18054365, 18533294, 18585967, 18656964, 18808462, 18856165, 19016192, 19514351, 19671912, 19727541, 19876598, 20004148, 20172627, 20305071, 20490836, 20882160, 21336777, 21641659, 22315652, 22376834, 22434037, 22543639, 22780466, 22917590, 23092930, 23527340, 24286761, 24598211, 25021588; REF 89-6588.01; Lot Number 19036601; REF 89-6598.01; Lot Number 18949366; REF 89-6600.01; Lot Number 19036644; REF 89-6725.01; Lot Numbers: 19956264, 20041176, 20241098, 20502681, 21842590, 22021486, 22060506, 22590401, 22737855, 22924298, 23342978, 24162741, 24295552, 24435421, 24578771, 24827854; REF 89-6797.01; Lot Numbers: 21641392, 22055248, 22375508, 22912941, 23217721, 24064455, 24534082, 24741823; REF 89-6826.01; Lot Numbers: 21412207, 21421015, 21811769, 21836659, 22122463, 22868450, 22912932, 23217712, 23523488, 23864531, 24284642, 24570690; REF 89-6858.01; Lot Numbers: 22431477, 22483496, 22868484; REF 89-6990.01; Lot Numbers: 22244102, 22260022, 22315089, 22376009, 23218192, 23327751, 23686113, 24064914, 24284837, 24819432, 22244102, 22260022, 22315089, 22376009, 23218192, 23327751, 23686113, 24064914, 24284837, 24819432; REF 89-7063.01; Lot Numbers: 22501341, 22719366, 22914065, 23065595, 23328922, 23524739, 23772231, 23866430, 24150142, 24285362; REF 89-7257.01; Lot Numbers: 22392341, 22653715, 22838875, 22957090, 23411451, 23524448, 23607454, 24065491; REF 89-7361.0206; Lot Numbers: 22543428, 22721992, 22869111, 22959458, 23091591, 23525900, 24660556, 24820345, REF 89-7367.01; Lot Numbers: 22502159, 22914911, 23608967, 23867555, 24150871, 24253299; REF 89-7395.04; Lot Numbers: 22801010, 22822929, 23031934, 23236690, 23308569, 23390523, 23623542, 23785251, 24295659, 24855564; REF 89-7429.01; Lot Numbers: 22563146, 22581256, 22723197, 22916095, 23065843, 23220680, 23689082, 24067621, 24286226, 24743482; REF 89-7502.01; Lot Numbers: 22543487, 22635015, 22722303, 22915738, 23027927, 23525993, 23868478; REF: 89-7655.01; Lot Numbers: 24828152, 24833701; REF 94-0268.07: Lot Numbers: 17723310, 17913535, 18269833, 18319757, 18473720, 18862733, 19131721, 19418802, 19480497, 19811225, 19828570, 20409073, 20496744, 20677991, 20889353, 21184742, 21318122, 21338553, 21350683, 21839930, 21923091, 22058238, 22262757, 22317279, 22585986, 22637926, 22732245, 22800130, 23232138, 23531808, 23695343, 23948591, 24006562, 24157635, 24430662, 24575360, 24662586, 24823079; REF 94-0270.06: Lot Numbers: 17152001, 17348329, 18184282, 18621201, 19326692, 19683868, 19715891, 19829222, 19829231, 20539724, 20680971, 20724575, 21350860, 21412661, 21422843, 21697951, 22347304, 22394995, 22436366, 22964353, 23234467, 23424332, 23533942, 24160244, 24243883, 24433177;  REF 47-621.08: Lot Number 15408121; REF 50-12772.13: Lot Numbers: 17901315, 18029178, 18074729, 18181364, 18217208, 18283715, 18632946, 18780113, 18908658, 19068312, 19140185, 19248487, 19414457, 19496165, 19673820, 19900041, 20124895, 20492671, 20492680, 20580701, 20627290, 20801737, 20835611, 20884456, 20932850, 20978604, 21109890, 21643881, 22412647, 22412655, 22636368, 22728633, 22821643, 22849355, 23224293, 23333810, 23691861, 24003450, 24070046, 24229299, 24427527, 24427535, 24573381, 24745218, 24853526, 24923061, 25023153; REF 50-10479.10: Lot Number: 17680313, 18214349, 18734441, 18860439, 19541683, 19675198 
Recalling Firm/
Manufacturer		 Deroyal Industries, Inc. Lafollette
1501 East Central Ave
La Follette TN 37766-2892
For Additional Information Contact Tracy Edmundson
865-362-2334
Manufacturer Reason
for Recall		 Custom surgical kits contained either one or more of the following possible contaminated recalled products: Triad lubricating jelly, alcohol prep pads, and alcohol swabs.
FDA Determined
Cause 2		 Other
Action DeRoyal notified their consignees by letter with the subject line "Re: DeRoyal Recall of Triad Medical Lubricating Jelly, Alcohol Prep Pads and Alcohol Swabs" on 02/07/2011 that kits in their possession contained recalled Triad products that were possibly contaminated. Customers were to use the attached spreadsheet to identify and quarantine the affected product. The spreadsheet should have been completed even if there was no affected product. The form should have been faxed back to 865-362-3716 or emailed to recalls@deroyal.com. Customers' DeRoyal Sales Representative would re-label the affected product in order to prevent further use. The DeRoyal Sales Representatives are also providing in-service training on effectuating this recall, including the importance of identifying, retrieving and discarding the recalled products as well as the documentation necessary to account for these products. Distributors were directed to recall down to the retail level. If there are questions or if further assistance is needed, customers can contact their DeRoyal Sales Representative or customer support department at 1-800-251-9864.
Quantity in Commerce 340,976 units total
Distribution Nationwide Distribution
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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