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Recall Observatory FDA recall evidence

Device product

The Ultem Polymeric Resin Koh Cup is a non- sterile, reusable vaginal fornices delineator. It is made of medical grade plastics and not made with natural rubber latex. Model Number(s): KCP-30-2

Z-1686-2021

April 23, 2021

Class II

Product summary

Firm
CooperSurgical, Inc.
Event
Event 87849
Status
Ongoing
Classification
Class II
Quantity
6 boxes or 12 units
Official record key
device-enforcement:Z-1686-2021

Official wording

Reason: The affected Koh Cup were incorrectly packaged with a 3.5cm Ultem Koh cup, P/N 34131-04, instead of a 3.0cm Ultem Koh cup, P/N 34131-03 as required.

Code information: Lot 280819

Distribution pattern: Domestic: UT, OH, DE

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    The affected Koh Cup were incorrectly packaged with a 3.5cm Ultem Koh cup, P/N 34131-04, instead of a 3.0cm Ultem Koh cup, P/N 34131-03 as required.