ClearanceBrief
Recall Z-0906-2023 ยท LRO General Surgery Tray

DeRoyal Industries Inc

DeRoyal Tonsillectomy Tray, REF 89-10698.01

DateJan 5, 2023 (initiated Nov 28, 2022)
StatusTerminated
ReasonDeRoyal is recalling certain lots of surgical procedure pack products that contain a ConMed Foot Controlled Electrosurgical Suction Coagulator. The recall is due to ConMed receiving reports that the suction ports may be occluded on the affected devices. If this occurs, the affected devices will not be able to perform the suction function during use.
Root causeNonconforming Material/Component
ActionDeRoyal issued an URGENT! DEROYAL RECALL NOTICE on 11/28/2022 to the distributor by email and to the end used by overnight USPS. The notice explained the problem and requested the following actions be taken: 1) Using the attached Affected Products Listing, identify affected surgical pack numbers in your inventory and place in quarantine to prevent further use. Please return the packs that you have in inventory to us. You will be given credit or replacement for the returned product. 2) Complete the NOTICE OF RETURN FORM, indicating all affected products found in your inventory. Please retu
Quantity320 units
DistributionDistribution in US states of VA, and SC.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

This recall record lists no 510(k) number.