Recall Z-0784-2020

Intersurgical Inc · initiated August 7, 2019

Class II Terminated

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

Product

Double Swivel Elbow with Bronchoscopy Port 15MM OD, 22MM OD/15MM ID, REF 1898000. Airway connector.

Codes / lots: Lot numbers: 2181793, 2182007, 2182830, 2183105, 2183345(3183345), 2190034, 2190139, 2191204, 2191327

Reason for recall

The port may crack in the swivel elbow where the flip cap is inserted, and these cracks could possibly leak if they reach a significant size.

FDA-determined cause: Under Investigation by firm

Action taken

Intersurgical Inc. issued Urgent Medical Device Recall notices to customers dated August 5, 2019. Customers were advised to take the following actions: 1. Immediately discontinue use and quarantine any stock with the product/lot number described in the recall notification. 2. If you have distributed any of these products, please immediately contact your customers, advise them of the recall situation and have them return their outstanding recalled stock to you. 3. Contact Intersurgical Customer Support at 800-828-9633 for a Return Goods Authorization (RGA) Number. Hours of operation are Monday through Friday, 8:00 a.m. to 4:30 p.m. EST. a. Once you have received the RGA Number, please enter it in the space provided on the Customer Product Recall Acknowledgement Form: i. Return the completed form via email to Intersurgical Inc. at support@intersurgicalinc.com. ii. The subject line should contain your Company name and RGA number. 1. This will allow us to document your receipt of this letter and the amount of product you have on-hand for return. b. Intersurgical will credit your account when the product is received. 4. Please note: If you do not have the recalled product in stock, please check the appropriate box on the Customer Product Recall Acknowledgement Form. a. Return the completed form via email to Intersurgical Inc. at support@intersurgicalinc.com. b. The subject line should contain your Company name and Intersurgical Recall

Details

Recall number
Z-0784-2020
Initiated
August 7, 2019
Terminated
December 15, 2020
Product code
BZA – Connector, Airway (Extension)
Quantity
115,200 pieces
Distribution
US Nationwide
Recalling firm
Intersurgical Inc, East Syracuse, NY

Official FDA recall record

Other products in the same recall event

RecallProductInitiated
Z-0785-2020 Class IIDouble Swivel Elbow with Bronchoscopy Port 15MM OD, 22MM OD/15MM ID, REF 1996030. Airway…The port may crack in the swivel elbow where the flip cap is inserted, and these cracks could possibly leak… 08/07/2019Terminated
Z-0786-2020 Class IISuperset with 22MM ID, Double Swivel Elbow 22MM OD/15MM ID and Bronchoscopy Port, REF…The port may crack in the swivel elbow where the flip cap is inserted, and these cracks could possibly leak… 08/07/2019Terminated
Z-0787-2020 Class IISuperset with 22MM ID, Double Swivel Elbow 22MM OD/15MM ID and Bronchoscopy Port, REF…The port may crack in the swivel elbow where the flip cap is inserted, and these cracks could possibly leak… 08/07/2019Terminated