DeRoyal(R) Medium Specimen Retrieval Bag, REF 5500-000-003, Rx Only Product Usage: The device is a single-use specimen retrieval bag indicated for use in laparoscopic procedures to capture and remove organs or tissue from the body cavity.
FDA Recall Z-1642-2015 · Posted 2015-05-21
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Recalling FirmDeRoyal Industries Inc
Recall StatusTerminated
Product CodeGCJ
Date Initiated2015-04-17
Date Terminated2015-12-29
Product Quantity5359 units
Reason for Recall
The firm received reports of specimen retrieval bags tearing, ripping, and coming apart during use.
Firm Action
DeRoyal sent an Urgent: Voluntary Recall letter dated April 17, 2015 to their customers. The letter identified the affected product, problem and actions to be taken.
Customers were instructed to 1. Check your inventory for the product and specific lot number from the attached Recall Response Form.
2. If you have affected inventory, please destroy it and dispose of it according to your facilitys procedures.
3. Record all information on the included Recall Response and Notice of Destruction forms.
4. If you purchase through a distributor, please indicate their name/location on the Notice of Destruction Form so that we may issue credit appropriately.
5. Return both forms to [email protected] or 865-362-3716 (fax) even if you no longer have affected inventory.
6. Once we have received your Recall Response and Notice of Destruction forms, you will receive credit for destroyed product as indicated on the form.
7. If you are a distributor of these products, please forward this recall notice on to your end-users, or provide us with your customer listing and we will gladly contact them for you.
For questions regarding this recall, please contact your DeRoyal Sales Representative or DeRoyal Customer Service at 1-800-251-9864.
Root Cause
Device Design
Distribution Pattern
US Nationwide Distribution
Official Source
View FDA Recall →Source: FDA Enforcement Report / Recall database. Always confirm against the official FDA record.
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