| | Class 3 Device Recall Theralase |  |
| Date Initiated by Firm | September 26, 2019 |
| Date Posted | February 13, 2020 |
| Recall Status1 |
Terminated 3 on December 03, 2020 |
| Recall Number | Z-1348-2020 |
| Recall Event ID |
84842 |
| 510(K)Number | K151816 |
| Product Classification |
Powered Light Based Laser Non-Thermal Instrument with Non-Heating Effect For Adjunctive Use in Pain Therapy - Product Code NHN
|
| Product | TLC-2000 Therapeutic Medical Laser System Power Pack, Model Number TLC-2002 |
| Code Information |
Serial Numbers: 3104-3106 (inclusive); 3109 to 3141 (inclusive), 3143, 3146, 3147, 3155, 3158, 3159, 3163-3165 (inclusive), 3168-3173 (inclusive), 3180-3184 (inclusive), 3188-3332 (inclusive), 3334 |
| FEI Number |
3003614490
|
Recalling Firm/ Manufacturer |
Theralase Inc.
41 Hollinger Rd
East York
Canada
|
| For Additional Information Contact | Rishi Mehta 866-843-5273 Ext. 306 |
Manufacturer Reason for Recall | Power Pack (component) was shipped with an internal battery pack tested to UN-38.3, UL-2054 and IEC-62133 (2nd Edition) standards; however, not tested to IEC-60601-1-2 (3rd edition) standards |
FDA Determined Cause 2 | Process control |
| Action | Email was sent out to healthcare practitioners regarding the recall on September 26, 2019.
Please courier your TLC-2000 to Theralase, at your cost, for modification. A Field Inspection Test will be completed and once passed, a Special Inspections for Medical Electrical Equipment and Systems label will be applied to your TLC-2000 Power Pack.. |
| Quantity in Commerce | 202 units |
| Distribution | U.S.A.; Australia, Bahrain, Canada, Hong Kong Province of China, Jordan, Mexico, Pakistan, Philippines, Thailand, Romania |
| Total Product Life Cycle | TPLC Device Report |
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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.
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| 510(K) Database | 510(K)s with Product Code = NHN
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