Gyrus Acmi PKS Omni 5mm/33cm-intended for the electrosurgical coagulation, mechanical grasping, and dissection of tissue during the performance of laparoscopic and general open surgical procedures when used in conjunction with the Gyrus ACMI G400 workstation Ref: 970010PC
FDA Recall Z-2380-2021 · Posted None
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Recalling FirmOlympus Corporation of the Americas
Recall StatusTerminated
Product CodeGEI
Date Initiated2021-06-09
Date Terminated2023-02-17
Product Quantity6 boxes (5 per/box)=30 units
Reason for Recall
Expired adhesive used as an electrical insulation barrier and as a secondary retention bond failed and could result in foreign body / biologic reaction within the patient and / or electrical continuity to patient causing tissue burn to critical structures.
Firm Action
Olympus issued Urgent Medical Device Recall Letter on June 9th 2021 via Federal Express two day mail. Letter states reason for recall, health risk and action to take:
1. Immediately cease any further use of any affected product you have, remove it
from your inventory and quarantine it until it is shipped back to us.
2. Call your Olympus customer service representative at 1-888-524-7266 option 1.
Olympus will issue a Return Material Authorization to return any affected product.
at no charge to you. Olympus will issue a credit or replacement to your facility
for your affected product.
3. Access the Olympus recall portal to indicate that you have received this
notification. Go to https://olympusamerica.com/recall. Enter the recall number
Recall-0395 and provide your contact information as indicated in the portal.
In addition, if you have further distributed this product, please identify your customers,
notify them at once of this product recall, and appropriately document your notification
process. Your notification to your customers may be enhanced by including a copy of
this recall notification letter. Contact me directly at 484-896-5688 or at [email protected] for any additional information concerning this matter.
Root Cause
Process control
Distribution Pattern
US Nationwide distribution in the states of CA, GA, MN, TN.
Related FDA 510(k) Records
Devices referenced by this recall via K-numbers.
Official Source
View FDA Recall →Source: FDA Enforcement Report / Recall database. Always confirm against the official FDA record.
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