FDA Enforcement Class II Terminated

Bayonet Forceps 7.-1/8 (181.0mm) 0.75mm Insulated Tips, Sterile Single Use Surgical/Bipolar Forceps, Model #20-1360I, 510 (k) #K884656. The surgical device is package one (s) per plastic Tyvek peel pouch, 10 plastic Tyvek peel pouches per box. Bipolar Forceps and Cords - Olsen Medical Bipolar Forceps and Cords are intended for use in coagulating tissue during surgical procedures.

Recall: Z-1996-2012 · Reported July 18, 2012

Enforcement

Recall Number
Z-1996-2012
Event ID
61958
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
PSC Industries Inc
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
July 18, 2012
Initiation Date
June 1, 2012
Classification Date
July 11, 2012
Termination Date
September 15, 2015
Address
3230 Commerce Center Pl, Louisville, KY, 40211-1900, United States

Description

Bayonet Forceps 7.-1/8 (181.0mm) 0.75mm Insulated Tips, Sterile Single Use Surgical/Bipolar Forceps, Model #20-1360I, 510 (k) #K884656. The surgical device is package one (s) per plastic Tyvek peel pouch, 10 plastic Tyvek peel pouches per box. Bipolar Forceps and Cords - Olsen Medical Bipolar Forceps and Cords are intended for use in coagulating tissue during surgical procedures.

Reason

Firm officials reported to CIN-DO that the outer carton label of this sterile, single use device is misbranded in that it lists an incorrect expiration date. The outer carton label lists the sterile expiration date as: 2012-02-(28) [the manufacture date] ; however the device pouch label lists the sterile date as: 2017-02-(28). The pouch label lists the correct sterile expiration date.

Code Info

Model/part Number: 20-1360I, Lot Number: 023399, Expiration Date: 02/28/2017.

Distribution

Worldwide distribution: USA (nationwide) including states of: CA, CT, FL, GA, MD, MI, NC, OR, SC, and TX and countries of: Canada and Philippines.

Quantity

80 units