FDA Enforcement Class II Terminated

DeRoyal(R) Medium Specimen Retrieval Bag, REF 5500-000-003, Rx Only Product Usage: The device is a single-use specimen retrieval bag indicated for use in laparoscopic procedures to capture and remove organs or tissue from the body cavity.

Recall: Z-1642-2015 · Reported May 27, 2015

Enforcement

Recall Number
Z-1642-2015
Event ID
71193
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
DeRoyal Industries Inc
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
May 27, 2015
Initiation Date
April 17, 2015
Classification Date
May 21, 2015
Termination Date
December 29, 2015
Address
200 Debusk Ln, N/A, Powell, TN, 37849-4703, United States

Description

DeRoyal(R) Medium Specimen Retrieval Bag, REF 5500-000-003, Rx Only Product Usage: The device is a single-use specimen retrieval bag indicated for use in laparoscopic procedures to capture and remove organs or tissue from the body cavity.

Reason

The firm received reports of specimen retrieval bags tearing, ripping, and coming apart during use.

Code Info

1211QDA403, 1301QDA402, 1301QDA410, 1303QDA401, 211QDA403, 32046564, 32119911, 32338381, 32562251, 32783812, 32886441, 32891051, 32899882, 32942609, 33114274, 34939294, 35229930, 35579999, 35738515

Distribution

US Nationwide Distribution

Quantity

5359 units