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Recall Observatory FDA recall evidence

Device product

Laparoscopy CDS

Z-2978-2018

April 12, 2017

Class II

Product summary

Firm
Medline Industries, Inc.
Event
Event 78411
Status
Terminated
Classification
Class II
Quantity
15 kits
Official record key
device-enforcement:Z-2978-2018

Official wording

Reason: One manufacturing lot of a non-sterile pack was assembled with a non-sterile component labeled sterile (kit component #80532NS). The non-sterile component 80532NS was supposed to be placed inside the sterile portion of the pack where it would subsequently be exposed to the ethylene oxide sterilization process. However, the component was not placed in the sterile portion of the pack during assembly and was never exposed to the sterilization process. Component 80532NS was inadvertently released non-sterile. Component 80532NS is packaged by Medline and is an Anti-fog kit that contains 1 bottle of 6g Anti-Fog solution and an adhesive backed sponge.

Code information: Model: CDS920114F. Lot: 17MB5499

Distribution pattern: CA, NM

Derived failure modes

  • Sterility assurance

    reason.sterility_assurance · v1.0.0

    non-sterile pack was assembled with a non-sterile component labeled sterile (kit component #80532NS). The non-sterile

Field note

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