Civco, MTSR03 Shoulder Retractor with Wrist Loops Kit with Base, plus two pairs of wrist loops (n...

FDA Device Recall #Z-0990-2015 — Class II — December 11, 2014

Recall Summary

Recall Number Z-0990-2015
Classification Class II — Moderate risk
Date Initiated December 11, 2014
Status Terminated
Voluntary Voluntary: Firm initiated

Recalling Firm

Firm Med Tec Inc
Location Orange City, IA
Product Type Devices
Quantity 2

Product Description

Civco, MTSR03 Shoulder Retractor with Wrist Loops Kit with Base, plus two pairs of wrist loops (nylon and sherpa), Non-sterile re-usable wool wrist strap, REF: 20SR03, Rx The devise is intended to pull patients shoulders down for clearance when treating lateral fields to the neck.

Reason for Recall

The product (wool wrist loop) was manufactured 7cm shorter than product specifications.

Distribution Pattern

Worldwide Distribution - US Distribution to the states of : AZ, MO, PA and WI., and the countries of : Austria, India and Japan.

Lot / Code Information

Lot: M612690 REF: 20SR03

Other Recalls from Med Tec Inc

Recall # Classification Product Date
Z-2243-2020 Class II Type S Extension For use with Varian, CIVCO, Pr... May 12, 2020
Z-1837-2019 Class II CIVCO Solstice(TM) SRS Immobilization System, P... Apr 15, 2019
Z-0671-2018 Class II Protura Software which utilizes Elekta's iCOM i... Nov 8, 2017
Z-3082-2017 Class II CIVCO Arm Support, REF 106015, distributed as: ... Aug 10, 2017
Z-3083-2017 Class II CIVCO Arm Support, REF 106047, distributed as: ... Aug 10, 2017

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.