Recall of Device Recall Insufflation Tubing Sets

According to U.S. Food and Drug Administration, this recall involved a device in United States that was produced by DeRoyal Industries Inc.

What is this?

A correction or removal action taken by a manufacturer to address a problem with a medical device. Recalls occur when a medical device is defective, when it could be a risk to health, or when it is both defective and a risk to health.

Learn more about the data here
  • Type of Event
    Recall
  • Event ID
    65764
  • Event Risk Class
    Class 2
  • Event Number
    Z-2113-2013
  • Event Initiated Date
    2013-07-15
  • Event Date Posted
    2013-08-28
  • Event Status
    Terminated
  • Event Country
  • Event Terminated Date
    2015-05-20
  • Event Source
    USFDA
  • Event Source URL
  • Notes / Alerts
    U.S. data is current through June 2018. All of the data comes from the U.S. Food and Drug Administration, except for the category Manufacturer Parent Company.
    The Parent Company was added by ICIJ.
    The parent company information is based on 2017 public records.
  • Extra notes in the data
    Tubing/tubing with filter, insufflation, laparoscopic - Product Code NKC
  • Reason
    Deroyal industries is recalling their product insufflation tubing sets due to materials incompatibility which could possibly result in occlusion at or near the filter housing which could prevent the flow of gas through the device.
  • Action
    The firm notified customers via letters dated 7/15/2013 sent UPS and via DeRoyal Representatives. Customers were asked to notify DeRoyal of any remaining inventory to return for replacement product or credit. Non-responders will receive additional notifications. Effectiveness checks will be performed by contacting non-responders by phone.

Device

  • Model / Serial
    All Lots of the Insufflation Tubing Sets are as follows: REF 28-0206 Insufflation Tubing, Laparoscopic, Lot #29074214; REF 28-0214 Hi-Flow Insufflation Tubing Lot #3194170; REF 28-0216 Tubing, Insuf w/.3 Micr Filter Lot #29074249; REF 28-0217 Insufflation Tubing, Laparoscopic Lot #32305010; DeRoyal REF 28-0208 Insufflation Tubing w/Vent Lot #29314302; DeRoyal REF 28-0212H Heated Hi-Flow Insufflation Tubing Lot #29000354.
  • Product Classification
  • Device Class
    1
  • Implanted device?
    No
  • Distribution
    Worldwide Distribution-USA (nationwide) including DC and the states of AL, AR, AZ, CA, CO, CT, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WI, WV, and the countries of Dubai, Arab Emirates, Quebec, Canada, Japan, and Ireland.
  • Product Description
    DeRoyal Insufflation Tubing sets: || 1) REF 28-0206 Insufflation Tubing, Laparoscopic Rx Only || 2) REF 28-0214 Hi-Flow Insufflation Tubing Rx Only || 3) REF 28-0216 Tubing, Insuf w/.3 Micr Filter Rx Only || 4) REF 28-0217 Insufflation Tubing, Laparoscopic Rx Only || 5) REF 28-0208 Insufflation Tubing w/Vent Rx Only || 6) REF 28-0212H Heated Hi-Flow Insufflation Tubing Rx Only. || Used during laparoscopic surgical procedures to aid in the insufflation of the abdomen.
  • Manufacturer

Manufacturer

  • Manufacturer Address
    DeRoyal Industries Inc, 200 Debusk Ln, Powell TN 37849-4703
  • Manufacturer Parent Company (2017)
  • Source
    USFDA