Class 2 Device Recall Convoy Soft Tip Sheath Multipurpose Introducing Sheath Kits

• Date Initiated by Firm: December 24, 2008
• Date Posted: April 09, 2009
• Recall Status: Terminated on April 06, 2010
• Recall Number: Z-1072-2009
• Recall Event ID: 50771
• 510(K)Number: K013866 K022067 K034061 K072719
• Product Classification: Introducer, catheter - Product Code DYB
• Product: Soft Tip Sheath Multipurpose Introducing Sheath Kit, Model Numbers: M00456600, M00456610, M00456620, M00456630, M00456650, M00456700, M00456710 and M00456760. Manufactured by Thomas Medical Products, Inc. Product is intended for use to facilitate the percutaneous introduction of various types of cardiovascular catheters into either the right or left side of the heart. The sheath may be exchanged and used for left sided placement, after transseptal puncture has first been obtained by another sheath.
• Code Information: Batch Numbers: 5660, 5662, 5665, 5671, 5661, 5663, 5670 and 5676 and Batch Numbers: S17665, S2053, S1827, S2283,S2382,S20023, S2100, S1917,S2314,S2200,S21439, S2144,S1956,S2315,S2002,S22763, S2240, S2027,S2390,S2305,S2382, S2276,S2053,S2520,S23827,S17392, S2305,S2077,S2559,S1701,S18274, S2386,S2100,S2588,S1701,S19033, S2542,S2121,S2637,S2421,S19561, S1734,S2240,S1918,S20021, S1746, S2280, S2305, S1823 1 S2016 8 S2221 8 S2310 6 S2582 7 S1823 2 S2029 6 S2223 0 S2310 7 S2589 0 S1827 6 S2037 0 S2223 1 S2310 8 S2600 7 S1847 2 S2043 7 S2223 2 S2342 8 S2613 9 S1864 9 S2043 8 S2229 5 S2346 4 S2615 7 S1869 6 S2043 9 S2229 6 S2346 5 S2615 8 S1870 9 S2044 0 S2229 7 S2360 6 S2621 5 S1874 9 S2049 5 S2248 5 S2360 7 S2632 8 S1884 4 S2071 5 S2250 5 S2369 9 S2632 9 S1888 4 S2071 6 S2250 8 S2371 7 S2635 9 S1892 1 S2082 1 S2274 1 S2405 8 S2641 5 S1895 8 S2099 6 S2274 2 S2413 0 S2648 1 S1899 2 S2099 7 S2277 5 S2413 1 S1899 3 S2100 5 S2277 6 S2447 3 S1899 4 S2102 0 S2279 4 S2478 4 S1899 5 S2102 1 S2282 6 and S2493 3.
• Recalling Firm/ Manufacturer: Boston Scientific Corp; 150 Baytech Dr; San Jose CA 95134-2302
• For Additional Information Contact: 508-652-5594
• Manufacturer Reason for Recall: The marker band may detach from the sheath and a clinical failure could result in an embolism.
• FDA Determined Cause: Process design
• Action: The firm initiated the recall on December 24, 2009 and notified consignees via "Urgent Company Initiated Medical Device Recall - Immediate Action Required" letters which explain the reason for the recall and request the affected product be returned to the Boston Scientific Corporation Distribution Center. An amendment letter with two additional Convoy Advanced Delivery Sheath Kit models (M0045748ST0 and M0045749ST0) was sent to affected customers on January 27, 2009. Direct questions about this recall to your local Sales Representative.
• Quantity in Commerce: 31,340 of all units
• Distribution: Worldwide 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 = DYB; 510(K)s with Product Code = DYB