Refractor Suspension Arm (P/N: 525004, 05 and 525006, 07) The Intended use of this medical ...

FDA Recall #Z-1318-2018 — Class II — December 6, 2017

Recall #Z-1318-2018 Date: December 6, 2017 Classification: Class II Status: Terminated

Product Description

Refractor Suspension Arm (P/N: 525004, 05 and 525006, 07) The Intended use of this medical device, as part of system to store and position ophthalmological examination and diagnostic equipment, is to store and position for examination a device commonly known as a refractor.

Reason for Recall

Product has been found with a missing Washer, Retaining Ring, and/or Stop Screw. Recalling firm was notified by distributor that Refractor Suspension Arm fell on a patient s lower torso along with the arm housing

Recalling Firm

Reliance Medical Products Inc — Mason, OH

Classification

Class II — May cause temporary or medically reversible adverse health consequences.

Product Type

Devices

Product Quantity

933 ( of which 97 has been quarantined)

Distribution

Worldwide Distribution - USA(nationwide) Distribution to the states of : NJ, CA, OH, VA, MA, MN, IL , UT, TN, AR, LA, AZ, PA, TX, IA and HI., and to the countries of : Costa Rica, Jamaica, South Africa, New Zealand, South Korea, Dubai, Saudi Arabia and Jordan.

Code Information

Model Number: 525004, 05 and 525006, 07

Status

Terminated

Voluntary / Mandated

Voluntary: Firm initiated

What Should You Do?

Stop using this medical device immediately and consult your healthcare provider. Contact the recalling firm for instructions on return or replacement. If you experienced an adverse event, inform your doctor.

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