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U.S. Department of Health and Human Services

Class 2 Device Recall Pentax

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 Class 2 Device Recall Pentaxsee related information
Date Initiated by FirmApril 06, 2016
Date PostedJune 28, 2016
Recall Status1 Terminated 3 on December 21, 2017
Recall NumberZ-2068-2016
Recall Event ID 73894
510(K)NumberK131855 K951574 K951578 K951579 K961570 
Product Classification Colonoscope and accessories, flexible/rigid - Product Code FDF
ProductColonoscope Intended to provide optical visualization of and therapeutic access to the Lower Gastrointestinal Tract. This anatomy includes, but is not restricted to, the organs, tissues and subsystems: Large Bowel to the Cecum. The instrument is introduced via the rectum when indications consistent with the need for procedure are observed in adult and pediatric patient populations.
Code Information Model #'s EC-3430L, EC-3430LK, EC-3470LK, EC-380LKP, EC-3830LK, EC-3930LZ, EC-3831L, EC-3832L, EC-3832LK, EC-3870LK, EC-3870LZK, EC-3872LK, FC-38LV, EC-3830TLK, EC-3832TL, EC-3870TLK, EC-3872TLK, EC-3440L, EC-3840K, EC-2990LI, EC-3490LI, EC-3490LK, EC-3490TLI, EC34-I10L, EC-3890LI, EC-3890LK, EC-3890TLK and EC38-I10L
Recalling Firm/
Manufacturer		 Pentax Medical Company
3 Paragon Dr
Montvale NJ 07645-1782
For Additional Information ContactMr. Paul Silva
800-431-5880 Ext. 2064
Manufacturer Reason
for Recall		Pentax has become aware that operational/cleaning accessories and therapeutic devices (e.g., clips, stents, balloons, etc.) can become lodged in an endoscope's instrument channel.
FDA Determined
Cause 2		Device Design
ActionPentax sent an Urgent Field Correction letter dated April 6, 2016 to all affected consignees. The letter identified the product, the problem, and the action to be taken by the consignee. Consignees were reminded to carefully check that all accessories are intact, that no parts have fallen off and become lodged within the endoscope's instrument/suction channel and to ensure that any therapeutic devices passed through the instrument channel are accounted for after use. If the instrument/suction channel does become blocked or clogged due to the accumulation of debris, an accessory that cannot be removed, or other cause, do NOT attempt to correct the blockage or continue to use the endoscope. Customers were instructed to contact their local PENTAX Medical Service facility to have the endoscope repaired. Customers with questions were instructed to call 800-431-5880, ext 2064.
Quantity in Commerce12,412 units
DistributionWorldwide Distribution - US (Nation Wide) including Puerto Rico and Internationally to Denmark, Guam
Total Product Life CycleTPLC 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) Database510(K)s with Product Code = FDF
510(K)s with Product Code = FDF
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