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U.S. Department of Health and Human Services

Class 2 Device Recall MoXy Laser Fiber

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  Class 2 Device Recall MoXy Laser Fiber see related information
Date Initiated by Firm March 30, 2020
Create Date April 24, 2020
Recall Status1 Terminated 3 on April 05, 2023
Recall Number Z-1798-2020
Recall Event ID 85356
510(K)Number K120870  
Product Classification Powered laser surgical instrument - Product Code GEX
Product MoXy Laser Fiber, Material Number 0010-2400 - Product Usage: The fiber can be used for the surgical incision/excision, vaporization, ablation, hemostasis and coagulation of soft tissue.
Code Information Lot Numbers: 21857621,21857622,2 1885 133, 21885134, 21911808, 21918152,21933082,21955208,21966592,21972810, 22012232,22012233,22045291,22045292,22075867, 22075868, 22102605,22133874,22133875,22164395, 22192454,22214668,22214669,22240533,22240534, 22277294,22277295,22316091 , 22316094,22332788, 22332789,22367863, 22367864, 22399660, 22399661, 22430500,22460693,22491910,22523850,22523851, 22555544,22555545,22582191,22614412,226 1441 3, 22648469,22648471,22676727,22676728,22699074, 22714526,22714527,22748233,22779616, 2281 1499, 2284484 1, 22870995, 22870996,22903769,22903770, 22940569, 22973787,23006403, 23006404, 23025859, 23043565 ,23043566, 23046805,23069530, 23075003, 23079824,23079825, 23091108,23122367, 23 126934, 23 140183, 23 167998,23 199218,23199219,23201285, 23208313,23222999,23255764,23279578,23279669, 23279671, 23306204, 2331 1423,23339555,23348091, 23351254, 23359328,23360252,23371259,23371620, 23381026,23396932,23416792,23421082,23421088, 23421089,23421090,23444025,23453065,23456091, 23456092,23459552,23475445,23487672,23487673, 23502386,23502387,23527139,23527680,23564080, 23584254,23584255,23584256,23584257,23584258, 23584259,23584520,23584521 , 23584522, 23584523, 23594603,23601171,23624442, 23637809,23637810, 23637811,236378 12,23637813, 23637814, 23637816, 23637817,23637818,23637819, 23654470,23654471, 23678280,2367828 1,23678282, 23678283,23678284, 23678285, 23678286, 23678287,23678288,23678289, 23681574, 23728199,23728580,23728581,23728582, 23728583,23728584, 23728585,23728586, 23728587, 23728588,2373 1972,23731973,23743490,23743491, 23743492,23743493,23743494,23743495,23743496, 23743497,23743498,23743499,23744140, 23760138, 23760139,23797692,23833016,23833017,23833018, 23833019,23833460,23833461 , 23833462,23833463, 23833464,23833465,23833466, 23842248,23866396, 23869547, 23880108, 23880 110, 238801 11 , 23880112, 238801 13, 23880114,238801 15,23880116,2388011 7, 238801 18,23880 119, 23880340, 23891911,23891912, 23891913,23891914, 23891915, 23891916, 2389191 7, 2389191 8,23891919,23891980, 23891981, 23891982, 23891983,23904090, 23904091,23938085,23938086, 23938087,23938088, 23938089,23938090,23938091, 23938092,23938093, 23938094,23938095,23948722, 23948723,23969006,23969007,23969008, 23969009, 23969010,23969011, 23984808, 23988327,23988328, 23988329,23988330,23988331,24005956,24005957, 24005958, 24005959,24006260, 24016594,24016595, 240 16596,24020050,24020053 , 24020055,24020056, 24020057,24020058,24020200,24020201,24020202, 24020203,24061327,24061328,24061329,24061330, 2406 133 1,24061332,24061333,24080708, 24080709, 240807 12,24080713, 24080714,24080715,24119349, 24120925, 24120926, 24120927,24120928, 24120929, 24120930,24120931,24 120932,24120933, 24144105, 24144106,24144107,24144109,24144112,24144113, 24144114,24144116,24144120, 24144122, 24164686, 24164688,24164689,24 164690,2416469 1, 24164697, 24164698,241 64699,24164780,2416478 1, 24256724, 24256725, 24256726,24256727, 24263835, 24263836, 24263837, 24263838, 24263839,24264081, 24284565, 24284566, 24284673,2429251 1,242925 12,242925 13, 24292514, 24292515, 24292516, 24321100,24321101, 24321 102,24321 103, 2433850 1,24338502,24338503, 24338504,24338505,24344619, 24344980,24344981, 24344982,24344983,24344984,24370426, 24370427, 24370428,24370429, 24370430,24370431 , 24370432, 24370433,24370434,24370435,24370436,24370437, 24385280, 24385281,24385282, 24385283,24385284, 24385285,24385286, 24385287,24385288,24385289, 24385290,24385291,24385292,24385293,24385294, 24385295, 24416902,24416903,24416904,24416905, 24416906,24416907, 24416908, 24416909,244169 10, 244 169 11,24416912, 24416913, 24416914,244169 15, 244 16916,2441691 7, 24462677,24462678, 24462679, 24462880,24462881,24462882, 24462883, 24462884, 24462885,24462886, 24502701,24502702,24502703, 24502704, 24502705 , 24502706,24502707,24502708, 24502709, 24502710, 24540583, 24540585, 24540586, 24540587, 24540589,24559282,24559283,24559284, 24559286, 24559287, 24559288, 24559290, 24559292, 24559294,24559296,24595095,24595096,24595097, 24595098,24603242,24603243, 24603244,24603245, 24603246, 24603247, 24603248,24603249,24603250, 2460325 1,24622555, 24622556,24628310, 246283 11, 246283 12,24655514,246555 15,24657762, 24657763, 24657764,24657765, 24657767,24657770,24657772, 24657774,24657777, 24657778, 24657880, 24657883, 24704505, 24704506,24704507,24704508,24704509, 24704510, 247045 11 ,24704512,247045 13,24704514, 24704515,24704516,24704517,24704518,24722976, 24722977,24722978,24722979,24723160, 24723 161 , 24723162, 24723163,24723164,24723165, 24723 166, 24723167, 24723168,24760491,24760492,24765852, 24765853, 24765854, 24765855,24765856, 24765857, 24765858,24765859,24766480,24766481,24766482, 24766483, 24782719, 24783620,24783621, 24783622, 24783623,24806035,24806036, 24806037,24806038, 24806039,24806780,24806781 , 24806782, 24806783, 24806784,24806785, 24806786,24806787, 24823940, 24848075, 24848076, 24848077, 24848078,24848079, 24860957, 24860958, 24860959,24861220,24861221, 24883176, 24883177,24883178,24883179,24902874, 24909210, 24909211,24970260,24970261,24972055, 24972056, 24974380, 24974381, 24974382, 24974383, 2498841 l, 24988412, 24988413,24988414,24988415, 24995871,24995872,25017985,25017986,25027902, 25027903,25027904,25027905,25027906,25027907, 250677 18,25067719,25067800,25067801,25067802, 25067803, 25067804, 251 12908,25112910,25112911, 25112912,25112913,25112914,25112915,25112916, 25142926, 25 142927, 25142928,25142929,25142930, 25142931,25 142932,25142933
Recalling Firm/
Manufacturer		 Boston Scientific Corporation
300 Boston Scientific Way
Marlborough MA 01752-1291
For Additional Information Contact Nicole Pshon
763-494-1133
Manufacturer Reason
for Recall		 To reinforce existing instructions within the Directions for Use (DFU) and provide further guidance which will be added to the DFU that may reduce the likelihood of metal cap and fiber tip break temperature related complaints.
FDA Determined
Cause 2		 Use error
Action An Urgent Medical Device Product Advisory - Immediate Action Required dated 3/30/20 was sent to customers. Existing MoXy" laser fiber Direction for Use to be Reinforced 1- Ensure the distance from the fiber to the tissue is approximately 2mm (1 to 3 mm). Reference: Table 2. Troubleshooting and Procedural Considerations in product DFU. 2- Do not bury the tip of the fiber into the tissue. Reduced irrigation flow may result in damage to the fiber. Reference: Caution in page 3 of product DFU. 3- Failure to position the saline solution at least 106cm or not opening the flow valve will decrease the amount of fluid across the fiber end. Decreased fluid flow may limit the lasing time of the fiber. Reference: Caution in page 3 of product DFU. Section 8.3 of the MoXyTM Laser Fiber DFU has been updated to recommend an increased irrigation flow to increase the liquid cooling effect. The additions to the current DFU are highlighted in blue: 8.3 Performing the Procedure 1. Ensure user, patient, and personnel in the room are wearing appropriate protective eyewear before using the laser. WARNING: Do not press the footswitch without having the appropriate protective eyewear. Pressing the footswitch may activate the laser beam. Activation of the laser beam when not wearing protective eyewear may result in eye injury to the user, personnel in the room, or the patient. 2. Connect the tubing from the sterile saline for irrigation solution to the fiber luer lock connector. Position the saline solution at least 106 cm higher than the level of the endoscope/cystoscope. Increased irrigation flow by means of a saline pressure bag (set to 250 mmHg  300 mmHg) will further increase liquid cooling effect and may reduce fiber tip damage. Please complete and return the acknowledgement form to indicate receipt of this letter. Boston Scientific Quality Systems 763-494-1133 BSCFieldActionCenter@bsci.com
Quantity in Commerce 146,633
Distribution Worldwide distribution - US Nationwide and Global distribution.
Total Product Life Cycle TPLC Device Report
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = GEX and Original Applicant = AMERICAN MEDICAL SYSTEMS
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