—#152922

Product

Set-Up Pack, part number PSS1305(C

FDA product code: FSY — Light, Surgical, Ceiling Mounted
Device class: Class 2
Medical specialty: General, Plastic Surgery
Affected lot / code info: Lot number and expiration date 100280, 9/22/2019 101104, 9/14/2019 84089, 6/29/2018 85293, 7/29/2018 85807, 8/21/2018 86209, 9/23/2018 86427, 8/9/2018 86627, 8/11/2019 87734, 9/29/2018 87934, 9/7/2018 87935, 11/21/2018 87936, 12/25/2018 87937, 12/29/2018 89476, 1/28/2019 95646, 1/10/2019 96062, 1/16/2019 96463, 3/8/2019 96464, 6/22/2019 96465, 5/28/2019 96466, 5/29/2019 96807, 6/6/2019 97610, 6/19/2019 97611, 6/17/2019 97878, 9/25/2019 97878, 9/25/2019 99195, 9/14/2019

Why it was recalled

The Medtronic COVER LIGHT HANDLE DISPOSABLE GLOVES of the custom Aligned Medical Solutions (AMS) kits were recalled because gloves may contain splits or holes compromising sterility.

Root cause (FDA determination)

Nonconforming Material/Component

Action the firm took

AMS notified their consignees by Email, Fax, and Phone on 11/11/2017. AMS sent the notification letter, dated January 11, 2017, and provided yellow stickers "Recall Notice" to customers. They are advised to over-label the affected AMS kits at their facilities. Customers were instructed to place sticker in such a way that it would be immediately noticed but should not cover up or conceal any pertinent information such as Pack Number, Pack Name, Lot Number or Expiration Date on a kit. Customers with questions can call Vicki Davis at 321-527-7714 or send email to vdavis@alignedmedicalsolutions.com.

Recalling firm

Firm: Windstone Medical Packaging, Inc.
Address: 1602 4th Ave N, Billings, Montana 59101-1521

Distribution

Distribution pattern: Distributed in AZ, CA, CO, CT, FL, GA, IL, IN, KS, LA, MA, MD, MI, MN, MO, NC, ND, NE, NJ, NV, OH, PA, TX, UT, VA, and WA.

Timeline

Recall initiated: 2017-01-11
Posted by FDA: 2017-02-28
Terminated: 2017-05-03
Status: —

Source: openFDA Device Recall endpoint. Recall record ID #152922. The FDA issues recall classifications as health-hazard assessments, not legal findings; for legal claims consult a licensed attorney.