ClearanceBrief
Recall Z-0096-2023 ยท CAE Airway, Oropharyngeal, Anesthesiology

Intersurgical Inc

Intersurgical Solus Standard, laryngeal mask airway, size 3, small adult, 30-50kg Model Number: 8003000

DateOct 17, 2022 (initiated Aug 29, 2022)
StatusTerminated
ReasonPrinting error on the device, size 3 Solus Standard laryngeal mask airway has been incorrectly marked with size 4 information (includes the number 4 as a size identifier, patient weight and maximum inflation volume on the airway tube and the marking #4 on the inflation line pilot balloon) may pose health risk to the patient
Root causeUnder Investigation by firm
ActionIntersurgical Inc. issued Urgent Medical Device Recall Letter via email on 08/29/2022 and via certified first-class mail to Distributors. Letter states reason for recall, health risk and action to take: The recall extended to the user level. Recall Instructions: i. Immediately discontinue use and quarantined any stock with the product/lot number described above in this recall notification. ii. 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. iii. Contact
Quantity340 pieces
DistributionOH, TN, TX
FDA recordOpen on fda.gov

510(k) clearances named in this recall

This recall record lists no 510(k) number.