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Gyrus ACMI Disposable Falope-Ring Band Applicator Kits. REF… recallZ-0419-2015 · Gyrus Acmi, Incorporated · initiated Oct 21, 2014

Class II Terminated All recalls posted in June 2015

Is my device affected?

  1. Compare the model, catalog and lot or serial numbers on your device or its packaging with the code information below. A recall usually covers only specific models or lots.
  2. If yours is listed, follow the instructions from Gyrus Acmi, Incorporated or your healthcare provider. The company's action is summarized under what the company is doing.
  3. Do not stop using a prescribed or implanted device on your own — talk to your healthcare provider first.

Where to find your model and lot numbers · What recall classes and statuses mean

Why it was recalled

All packages of Falope Ring Band Applicator kits are being recalled due to compromises in sterile packaging that could be associated with bacterial contamination that might lead to patient infection.

FDA root cause category: Process control

What the company is doing

Olympus sent an Urgent Medical Device Recall letter dated October 21, 2014, to all affected customers. The letter identified the product the problem and the action needed to be taken by the customer. Olympus requires you to take the following action: I. Immediately cease any further use of any affected product you have, remove it from your inventory and quarantine it until it is shipped back to us. 2. Call your Olympus customer service representative at 1-888-524-7266 to obtain a Returned Goods Authorization so that you may return the product with no charge to you. Olympus will issue a credit t or replacement to your facility y for any returned product. 3. Please note on the enclosed questionnaire that you have received this information. 4. Fax the completed questionnaire to 484-896-7128 regardless of whether you have any affected inventory at your facility. ln addition, if you may have further distributed this product, please identify your customers, notify them at once of this product recall, and appropriately document your notification process. Your notification to your customers may be enhanced by including a copy of this recall notification letter.

Recall details

Recall number
Z-0419-2015
Recall class
Class II
Status
Terminated
Initiated by the company
Oct 21, 2014
Posted by the FDA
Jun 26, 2015
Recalling firm
Gyrus Acmi, Incorporated
Quantity
74,792 units
Product code
KNH
FDA submissions
P870076
Distribution
Worldwide distribution. US Nationwide, Canada, Vietnam, and Europe

Product description

Gyrus ACMI Disposable Falope-Ring Band Applicator Kits. REF 006889-901 and REF 005280-901 (with 8 mm Disposable Trocan). Sterile EO. Single Use Only. The disposable Falope-Ring Band Applicator is a sterile, two-band, dual-incision instrument. The two-band applicator enables the physician to occlude both Fallopian tubes without removing the applicator from the abdominal cavity. The Falope-Ring Band and Applicator Kits are indicated for use for female sterilization (permanent contraception).

Code information (models, lots, serial numbers)

All lots

Other devices under the same FDA submission

3 devices cleared under P870076 — the recall does not name any of them by identifier. One submission often covers many models, so they may or may not be affected.

Sources and updates

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