Recall Z-0626-2023

DeRoyal Industries Inc · initiated November 3, 2022

Class II Open, Classified

Class II – products that might cause a temporary health problem or pose a slight threat of a serious nature

Product

DeRoyal TLIF PACK, REF 89-8780.04

Codes / lots: Lot Numbers: Lot 56020431 exp 9/1/2023; Lot 56390757 exp 1/1/2024

Reason for recall

DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled.

FDA-determined cause: Nonconforming Material/Component

Action taken

The firm issued an URGENT RECALL NOTICE to its consignees on 11/03/2022 by email and US mail. 1) Using the attached Affected Products Listing Spreadsheet, identify affected part/lot numbers in your inventory and place in quarantine to prevent further use. 2) DeRoyal will contact you to schedule time to affix labels to all affected product. These labels indicate that, at the time of use, the affected product should be removed from the kit/tray and destroyed. These products should be destroyed according to your facility, local, state and federal regulations. 3) DeRoyal representative will determine kits/trays and affected lot numbers which require the labeling indicating to remove 3M Health Care item. 4) The completed the NOTICE OF DESTRUCTION FORM shall be emailed to recalls@deroyal.com no later than 12/8/2022. PLEASE COMPLETE THIS FORM EVEN IF YOU NO LONGER HAVE ANY INVENTORY. 5) The remaining items in the kit/tray are unaffected and may still be used. Distributors were asked to perform the following: "1) Using the attached Distributor Affected Products Listing Spreadsheet, identify affected part/lot numbers in your inventory and request placement in quarantine to prevent further use. 2) Please notify us with the quantity of affected cases, product and lot numbers in your inventory to which labels will need to be applied. Email this to recalls@deroyal.com no later than 11/21/2022. We will immediately send labeling for you to apply to case and each pack contained within. 3) These labels indicate that, at the time of use, the affected product should be removed from the kit / tray and destroyed. 4) The remaining items in the kit/tray are unaffected and may still be used. 5) If you have questions or need assistance with the recall, please contact your DeRoyal Supplier Relations contact, customer service at 888.938.7828, or email us at recalls@deroyal.com.

Details

Recall number
Z-0626-2023
Initiated
November 3, 2022
Posted by FDA
December 15, 2022
Product code
LRO – General Surgery Tray
Quantity
64 kits
Distribution
US: Tennessee, Texas, New York, Wisconsin, Florida, Virginia, Massachusetts, Arizona, Missouri, Connecticut, New Jersey, Pennsylvania, North Carolina, Louisiana, Michigan, Minnesota, Ohio, Indiana, Kansas, Illinois, Alabama, Georgia, Mississippi
Recalling firm
DeRoyal Industries Inc, Powell, TN

Official FDA recall record

Other products in the same recall event

RecallProductInitiated
Z-0560-2023 Class IIDeRoyal MINOR ORAL / ENT PACK, REF 89-2576.15DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0561-2023 Class IIDeRoyal MAJOR ORAL PACK RF, REF 89-3936.15DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0562-2023 Class IIDeRoyal EYE PACK, REF 89-4051.09DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0563-2023 Class IIDeRoyal EXTREMITY TRAY PGYBK, REF 89-4081.07DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0564-2023 Class IIDeRoyal EYE TRAY, REF 89-4957.08DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0565-2023 Class IIDeRoyal PEDI ORTHO PACK, REF 89-5323.20DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0566-2023 Class IIGEO-MED KNEE ARTHROSCOPY PACK, REF 89-5795.07DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0567-2023 Class IIGEO-MED TOTAL KNEE PACK A & B PGYK, REF 89-5796.13DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0568-2023 Class IIGEO-MED SHOULDER ARTHROSCOPY KNEE PACK, REF 89-5797.09DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0569-2023 Class IIDeRoyal PICC LINE TRAY PGYBK, REF 89-6150.13DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0570-2023 Class IIGEO-MED PODIATRY PACK PGYBK, REF 89-6240.05DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0571-2023 Class IIGEO-MED OPTHALMOLOGY CSTM PCK, REF 89-6387.08DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0572-2023 Class IIGEO-MED OPTHALMOLOGY CSTM PCK, REF 89-6387.09DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0573-2023 Class IIDeRoyal SHOULDER ARTHORSCOPY PACK RF, REF 89-6628.09DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0574-2023 Class IIDeRoyal OPEN SHOULDER PROCEDURE PACK RF, REF 89-6629.07XXX 11/03/2022Open, Classified
Z-0575-2023 Class IIDeRoyal OPEN SHOULDER PROCEDURE PACK RF, REF 89-6629.09DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0576-2023 Class IIGEO-MED PLASTIC HAND PACK RF, REF 89-6667.09XXX 11/03/2022Open, Classified
Z-0577-2023 Class IIGEO-MED PLASTIC HAND PACK RF, REF 89-6667.10XXX 11/03/2022Open, Classified
Z-0578-2023 Class IIGEO-MED TOTAL KNEE PACK A & B, REF 89-6799.02XXX 11/03/2022Open, Classified
Z-0579-2023 Class IIDeRoyal SHOULDER PACK, REF 89-6830.13XXX 11/03/2022Open, Classified
Z-0580-2023 Class IIDeRoyal CATARACT PACK CSM, REF 89-6863DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0581-2023 Class IIDeRoyal CANNULTED HIP PACK CSM, REF 89-6977.09DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0582-2023 Class IIDeRoyal CANNULTED HIP PACK, REF 89-6977.10XXX 11/03/2022Open, Classified
Z-0583-2023 Class IIDeRoyal BREAST TRAY, REF 89-7033.07XXX 11/03/2022Open, Classified
Z-0584-2023 Class IIDeRoyal LAPAROSCOPIC ROBOTIC TRAY, REF 89-7063.11XXX 11/03/2022Open, Classified
Z-0585-2023 Class IIDeRoyal GU ROBOTIC PACK, REF 89-7063.12XXX 11/03/2022Open, Classified
Z-0586-2023 Class IIDeRoyal CATARACT PACK, REF 89-7135.10DeRoyal procedure packs that contain the affected 3M Health Care Steri Drapes which have been recalled. 11/03/2022Open, Classified
Z-0587-2023 Class IIDeRoyal TRANS CANAL PACK, REF 89-7157.12XXX 11/03/2022Open, Classified
Z-0588-2023 Class IIDeRoyal LAPINECTOMY PACK, REF 89-7198.10XXX 11/03/2022Open, Classified
Z-0589-2023 Class IIDeRoyal LAPINECTOMY PACK, REF 89-7198.11XXX 11/03/2022Open, Classified