Everest MI XT Tab Removal Tool (i.e. All-In-One Tab Removal Tool)-used to break the tab off the E...

FDA Device Recall #Z-0542-2021 — Class II — November 4, 2020

Recall Summary

Recall Number Z-0542-2021
Classification Class II — Moderate risk
Date Initiated November 4, 2020
Status Terminated
Voluntary Voluntary: Firm initiated

Recalling Firm

Firm K2M, Inc
Location Leesburg, VA
Product Type Devices
Quantity 197 units

Product Description

Everest MI XT Tab Removal Tool (i.e. All-In-One Tab Removal Tool)-used to break the tab off the Everest XT screw by rocking the instrument back and forth until the entire tab is fully detached from the screw head. Catalog number: 5101-90195

Reason for Recall

All-in-One Tab Removal Tool may cause cracking and/or separating at the threaded interface between tool s metal shaft component and handle, resulting in leakage of Loctite from handle cracks

Distribution Pattern

Nationwide Foreign: Netherlands, Spain, UK, Belgium, Germany, Italy, Norway and Sweden

Lot / Code Information

Lot Numbers: JUFT, JUGX, KEFE, KUBJ, KVNT, KYRR, MAJR GTIN: 10888857290679

Other Recalls from K2M, Inc

Recall # Classification Product Date
Z-0706-2022 Class II Everest MI XT Outer Dilator, Catalog Number 510... Jan 13, 2022
Z-0705-2022 Class II Everest MI XT Inner Dilator, Catalog Number 510... Jan 13, 2022
Z-0104-2022 Class II Chesapeake Anterior Lumbar (AL) Removal Tool; C... Sep 8, 2021
Z-1695-2021 Class II Cascadia AN Interbody Convex 10x22x14mm Catalo... May 7, 2021
Z-1696-2021 Class II Cascadia AN Interbody Convex 10x22x15mm Cata... May 7, 2021

Frequently Asked Questions

Contact your healthcare provider and the device manufacturer immediately. Check whether your specific model number and lot number are included in the recall scope. For external devices, stop using the affected product and arrange a replacement. For implanted devices, do not panic — removal is typically not required unless the risk assessment clearly indicates it. Your physician will guide you based on your individual clinical situation and the FDA's recommended actions. Report any adverse effects you may have experienced to FDA MedWatch at 1-800-FDA-1088.

Class I recalls indicate a reasonable probability of serious adverse health consequences or death from the defect. Class II recalls involve products that may cause temporary or medically reversible adverse health consequences, or where serious consequences are remote. Class III recalls cover products not likely to cause any adverse health consequences, typically involving technical regulatory violations. The classification guides urgency — Class I recalls require immediate action, while Class III may simply involve returning a product or acknowledging a labeling change. Always read the specific recall notice for recommended patient actions.

Report problems with medical devices to the FDA through MedWatch at 1-800-FDA-1088 or online at FDA.gov/safety/medwatch. Healthcare facilities are required by law to report device-related serious injuries and deaths. Patients and consumers can also report voluntarily. Include the device name, manufacturer, model number, and a description of the problem and any patient outcome. Reports from patients and clinicians help the FDA identify emerging safety signals and may trigger investigations that lead to recalls of dangerous devices.

What Should You Do?

Stop using this device if you are affected by this recall. Contact your healthcare provider and the manufacturer immediately for guidance. Report adverse events to FDA MedWatch.