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FDA Medical Device Recalls (openFDA)

Prollenium Medical Technologies Inc.: Revanesse Versa, PN40081

Recall number
Z-1146-2020
Recalling firm
Prollenium Medical Technologies Inc.
Product
Revanesse Versa, PN40081
Status
Terminated
Initiated
2018-11-15
Posted
not on file
Terminated
2024-03-22
Reason
Labeling error. The product is labeled with an 18 month expiration date, however the product is approved for 12 months.
Root cause
Other
Action
A letter containing the subject "Revanesse Versa Expiration Dating" was e-mail on Nov 15, 2018 and April 30, 2019 to all consignees. The letter informed consignees about the issue. The letter asked consignees to do the following: 1. We request you to verily if any Revanesse Versa kit lots listed in the table on Page 2 are in your possession, if so please set aside and do not use them if they are expired from their 12 month expiration date has passed. If you have any concerns with your existing Revanesse Versa kits, please ^ contact Prollenium with the information below. We will send you a shipping label that will allow you to send the product back to our distribution center. 2. Send email to info@prolIenium,com configured as follows: Business Name: XXX, Versa Lot #: XXX, Number of Expired Kits: XXX, Contact Person: XXX 3. Prollenium will inform you once the updated expiration date is approved by the US FDA.
Quantity
48,457 kits
Distribution
US Nationwide distribution TX, FL, NC, LA, KY, WI, SD, IL, KS, CA
Lot, serial or model codes
Lot #/ Exp. date  17K004/July 31, 2018  17K005/July31,2018  I7K006/August 31, 2018  17K007/August 31, 2018  17K090/October 31, 2018  17K091/October 31, 2018  17L026/October 31, 2018  17L028/October 31, 2018  I7L050/November 30, 2018  17L0S1/November 30, 2018  18A023/November 30, 2018 18A024/November 30, 2018  I8E028/December 31, 2018  18E029/December 31, 2018  18F032/December 31, 2018  18F033/December 31, 2018  18G065/April 30, 2019  18G074/April 30, 2019  18G075/April 30, 2019  18G076/April 30, 2019  181022/June 30, 2019  181029/June 30, 2019
510(k) numbers
not on file
PMA numbers
["P160042"]
Product code
LMH
Firm FEI
3004423487
Firm city
Aurora
Firm state
not on file
Firm country
Canada

Where this comes from

Register
FDA Medical Device Recalls (openFDA)
Publisher
U.S. Food and Drug Administration (openFDA)
File
device-recall-0001-of-0001.json.zip
sha256
b87518bfe2e8
Size
288210821 bytes
Published
2026-09-28
Read
2026-09-29T08:25:23.626Z
Source file
Source file retained · verify
Refresh due
2026-10-06

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Cite as

FDA Medical Device Recalls (openFDA) (U.S. Food and Drug Administration (openFDA)), device-recall-0001-of-0001.json.zip, sha256 b87518bfe2e8, published 2026-09-28

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