Instructions for Use for the following Leksell Stereotactic System and Leksell Neurosurgical Instruments: (1) Part #A2800-26, Backlund Catheter Insertion Needle Kit III; (2) Part #A2800-15, Backlund Catheter Insertion Needle Kit I; (3) Part #A2600-01, Backlund Haematoma Evacuator Kit; (4) Part #A2200-01, Salcman Twist Drill Kit I; (5) Part #907801, Insertion Cannula Kit; (6) Part #50398-01, Catheter Inserter Needle 1,5; (7) Part #307165, Insertion Cannula 190 MM; (8) Part #60377-02, Twist Drill 3.2 MM; (9) Part #60377-01, Twist Drill 2.1 MM; (10) Part #50376-01, Salcman Twist Drill 2.1/3.2; (11) Part #14001050, Catheter Inserter Needle 2,6; and (12) Part #1002248, Frame G w Straight/Curved Front.
- Recall Initiated
- March 1, 2023
- Posted
- March 30, 2023
- Recall Number
- Z-1309-2023
- Quantity
- 70 devices
Reason for Recall
The incorrect IFU was distributed with the devices.
Distribution
US Nationwide distribution in the states of AZ, CA, CO, FL, GA, ID, IL, KS, MA, MD, MI, MN, MO, MS, NE, NH, NJ, NM, NV, NY, OH, OK, PA, SC, TN, TX, UT, WA, WI, and WV. There was also government distribution.
Lot / Code Info
UDI-DI: (1) 07340048301305; (2) 07340048300285; (3) 07340048301220; (4) 07340048301145; (5) 07340048300315; (6) 07340048308618; (7) 07340048308632; (8) 07340048308571; (9) 07340048308564; (10 07340048308601; (11) 07340048308625; and (12) 07340048306348.
Root Cause
Labeling Change Control
Action Taken
The firm issued a Field Safety Notification dated February 2023 on 3/1/2023 via email. The notification describes the problem, lists the part numbers involved, the clinical impact, and recommended user actions also letting them know the correct IFU will be shipped to all affected customers. The recommended user actions include posting the notice in a place accessible to all users until this action is closed and advising the appropriate personnel working with the product on the content of the letter. The consignee is informed that Elekta will provide customers with the correct IFU. An Acknowledgement Form is enclosed to acknowledge receipt of the notification to Elekta Care Community or complete the form and return it to Elekta no later than within 30 days. The consignee is to provide the device serial number and location or site and sign the form that they had read and understand the notice. On 3/2/2023, the correct IFU version was released to all internal service managers who will ensure all customers received the corrected version.