ClearanceBrief
Recall Z-1833-2021 ยท LRO General Surgery Tray

DeRoyal Industries Inc

DeRoyal Heart Cath Procedure Pack, REF 89-6556.08

DateJun 10, 2021 (initiated May 14, 2021)
StatusTerminated
ReasonDeRoyal manufactured certain lots of surgical procedure pack products using Hospira Pfizer 1% Lidocaine which was subsequently recalled due to mislabeling; the product is 0.5% Bupivacaine
Root causeNonconforming Material/Component
ActionThe firm initiated the recall by email on May 14, 2021. The notice explained the problem and hazard,. Customers were instructed to complete the NOTICE OF RETURN FORM-CREDIT ONLY, indicating all affected products found in your inventory. and return to DeRoyal via fax to 865-362-3716 or recalls@deroyal.com Customers were asked to PLEASE COMPLETE AND RETURN THIS FORM EVEN IF YOU NO LONGER HAVE ANY INVENTORY. Distributors were instructed to notify their customers.
Quantity66 packs
DistributionUS Nationwide distribution to the states of MS, VA, LA, and NY.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

This recall record lists no 510(k) number.