Z-2608-2016 Class II Terminated

Recalled by Richard Wolf Medical Instruments Corp. — Vernon Hills, IL

Recall Details

Product Type
Devices
Report Date
August 31, 2016
Initiation Date
May 19, 2016
Termination Date
November 30, 2017
Voluntary/Mandated
Voluntary: Firm initiated
Product Quantity
Product code 8378.90- 94 pieces & Product code 8378.91 - 32 pieces

Product Description

Conical portio adapter (acorn) small & large are used for examination and diagnosis in conjunction with endoscopic accessories in gynecological laparoscopy, to determine patency of the fallopian tubes.

Reason for Recall

The distal end of the Conical portio adapter (acorn) is composed of a small cap (head) that partially sits inside a hollow shaft (tube). These two parts are welded together to create one piece. In the impacted batches of product, the weld was improperly performed. As a result, the two pieces are not properly joined. This potential failure can result in the separation of the two pieces. The possible separation of these two components presents a potential risk to patients.

Distribution Pattern

U.S. Consignees: AK, AL, AR, AZ, CA, CT, DC, FL, GA, IA, IL, KY, MA, MI, MN, MO, MS, NC, NE, NJ, NY, OH, OR, TX, UT and VA.

Code Information

Product number 8378.90 with Batch number 51005921 and Product number 8378.91 with Batch number 51005922