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U.S. Department of Health and Human Services

Class 2 Device Recall AURIGA XL 4007 BRAZIL SYSTEM

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  Class 2 Device Recall AURIGA XL 4007 BRAZIL SYSTEM see related information
Date Initiated by Firm April 08, 2019
Date Posted May 22, 2019
Recall Status1 Terminated 3 on May 10, 2023
Recall Number Z-1391-2019
Recall Event ID 82691
510(K)Number K111475  
Product Classification Powered laser surgical instrument - Product Code GEX
Product AURIGA XL 4007 BRAZIL SYSTEM
Model: M0068FS4007B0

Product Usage:
The Auriga XL 4007 Laser System and the Auriga 30 Laser System including a fiber optic delivery system is intended to be used in surgical procedures such as open, laparoscopic and endoscopic, to perform incision, excision, resection, ablation, vaporization, coagulation and hemostasis of soft tissue in medical specialties including: Urology, Urinary Lithotripsy, Gastroenterology, Arthroscopy, Discectomy, Pulmonary, Gynaecology, ENT, Dermatology, Plastic Surgery and General Surgery.
Code Information Serial Number: 21302770
Recalling Firm/
Manufacturer
Boston Scientific Corporation
300 Boston Scientific Way
Marlborough MA 01752-1291
Manufacturer Reason
for Recall
Certain Auriga consoles may exhibit faster than normal power degradation due to a potential issue in the mechanical cooling system that could lead to a low power error (1301) being displayed on the screen. The console is designed to stop emitting laser pulses and enters a stand-by mode after a low power error message.
FDA Determined
Cause 2
Component design/selection
Action Boston Scientific issued to the user level the correction/removal via a customer notification letter via FedEx or hand delivery by a Boston Scientific agent on 4/9/19. Letter provides recommendations to the user until a field repair can be completed or a replacement console can be provided. A Boston Scientific representative will be in contact with you directly to schedule a field repair or replacement at your facility. The console can continue to be used during this time following the recommendations within the letter.
Quantity in Commerce 1 (OUS)
Distribution Worldwide distribution to Australia, Belgium, Brazil, Chile, Colombia, Egypt, France, Germany, Great Britain, India, Indonesia, Iran, Italy, Lebanon, Malaysia, Mexico, Romania, Russia Fed., South Africa, South Korea, Spain, Taiwan, United Arab Emirates and Vietnam
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 = STARMEDTEC GMBH
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