FDA Enforcement Class II Terminated

Laparotomy Sponge, XR No Loop, Single-Use, Sterile, 18'' x 18'' pre-washed with bands without handles, 5 sponges/pack, 40 packs/case. X-Ray Detectable, 1 Non-Absorbent outer wrap. intended use: Laparotomy sponges are intended for use inside the body, surgical incision, or for application to internal organs or structure to control bleeding, absorb fluid, or protect organs or structures from abrasions, drying, or contamination.

Recall: Z-0681-2019 · Reported January 2, 2019

Enforcement

Recall Number
Z-0681-2019
Event ID
81640
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Medical Action Industries Inc
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
January 2, 2019
Initiation Date
November 27, 2018
Classification Date
December 22, 2018
Termination Date
February 8, 2019
Address
25 Heywood Rd, Arden, NC, 28704-9302, United States

Description

Laparotomy Sponge, XR No Loop, Single-Use, Sterile, 18'' x 18'' pre-washed with bands without handles, 5 sponges/pack, 40 packs/case. X-Ray Detectable, 1 Non-Absorbent outer wrap. intended use: Laparotomy sponges are intended for use inside the body, surgical incision, or for application to internal organs or structure to control bleeding, absorb fluid, or protect organs or structures from abrasions, drying, or contamination.

Reason

Potential compromise of product sterility due to breach of sterile barrier.

Code Info

Model Number: 403, Lot Number: 1806JK305A, Expiration Date: 06/20/2023, UDI (Pack): 10809160000113, UDI (Case): 50809160000111

Distribution

Devices were distributed in 5 U.S states: MN, WA, NY, MA and MI. No product was distributed outside of the US.

Quantity

13 cases (2,600 sponges)