Richard Wolf Medical Instruments Corp.: Conical portio adapter (acorn) small & large are used for examination and diagnosis in conjunction with endoscopic accessories in gynecological laparoscopy, to determine patency of the fallopian tubes.

Recall number

Z-2608-2016

Recalling firm

Richard Wolf Medical Instruments Corp.

Product

Conical portio adapter (acorn) small & large are used for examination and diagnosis in conjunction with endoscopic accessories in gynecological laparoscopy, to determine patency of the fallopian tubes.

Status

Terminated

Initiated

2016-05-19

Posted

not on file

Terminated

2017-11-30

Reason

The distal end of the Conical portio adapter (acorn) is composed of a small cap (head) that partially sits inside a hollow shaft (tube). These two parts are welded together to create one piece. In the impacted batches of product, the weld was improperly performed. As a result, the two pieces are not properly joined. This potential failure can result in the separation of the two pieces. The possible separation of these two components presents a potential risk to patients.

Root cause

Nonconforming Material/Component

Action

Customers impacted were notified via Urgent Medical Device Recall Letter dated 5/31/2016 via certified mail. The letter describes the reason for the recall. Richard Wolf Identified the following measures to be taken by the consignees: 1. Immediately examine your inventory and quarantine product subject to recall. Richard Wolf Medical Instruments Corporation strongly recommends not using the potentially defective products. Please make sure that all users of the aforementioned products become aware of this urgent safety information. 2. If you have further distributed this product, please identify your customers and immediately notify them about this product recall. Your notification to your customers may be enhanced by including a copy of this recall notification letter, but must include instructions on what customers should do with the recalled product. 3. PLEASE COMPLETE ENCLOSED ANSWER FORM {even if the product is no longer in your inventory) and return the record to Richard Wolf Medical Instruments Corporation before June 17, 2016. Your return of the answer form will: " Confirm receipt of this safety information " Trigger a replacement order. Richard Wolf Medical Instruments Corporation will provide your facility with a return authorization number and shipping instructions and will bear the cost for shipping (returns to RWMIC and replacements to facility). 4. Please immediately inform Richard Wolf Medical Instruments Corporation of any adverse events. If the consignees have any questions they are asked to contact Lisa Williams, Regulatory Affairs Assistant at Richard Wolf Medical Instruments Corporation Richard Wolf Medical Instruments Corporation. Telephone: (847) 913-1113 Ext: 256 Telephone: (847) 913-1113 Ext: 225 Fax: (847) 913-0924 Fax: (847) 913-0924 Email : lwilliams@richardwolfusa.com Monday through Friday, 7:30AM to 4:00 PM CST. Monday through Friday, 9:00AM to 5:30 PM

Quantity

Product code 8378.90- 94 pieces & Product code 8378.91 - 32 pieces

Distribution

U.S. Consignees: AK, AL, AR, AZ, CA, CT, DC, FL, GA, IA, IL, KY, MA, MI, MN, MO, MS, NC, NE, NJ, NY, OH, OR, TX, UT and VA.

Lot, serial or model codes

Product number 8378.90 with Batch number 51005921 and Product number 8378.91 with Batch number 51005922

510(k) numbers

not on file

PMA numbers

not on file

Product code

HHI

Firm FEI

1418479

Firm city

Vernon Hills

Firm state

IL

Firm country

not on file

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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