| | Class 2 Device Recall AngioJet Ultra 5000 A Console: |  |
| Date Initiated by Firm | January 31, 2017 |
| Create Date | March 03, 2017 |
| Recall Status1 |
Terminated 3 on April 22, 2019 |
| Recall Number | Z-1401-2017 |
| Recall Event ID |
76400 |
| PMA Number | P980037 |
| Product Classification |
Catheter, coronary, atherectomy - Product Code MCX
|
| Product | AngioJet Ultra 5000 A Console:Foot Switch
Material number (U PN) 105650
Cardiovascular: The Console is a multiple-use device that controls the Thrombectomy Set. It drives the pump, regulates fluid inflow and outflow, provides the operator with Ultra System set-up prompts, total infused saline volume, and Ultra System malfunction warnings. |
| Code Information |
Serial number ranges:U2000 - U4530 U5001 - U5233; U6001 - U6197; U6300 - U6374 ; U6376 - U6432; U8001 - U8276; U8500 - U8719; U8800 - U8829; U8831 - U8869. |
| FEI Number |
2939204
|
Recalling Firm/ Manufacturer |
Boston Scientific Corporation 47215 Lakeview Blvd Fremont CA 94538-6530
|
| For Additional Information Contact | Clara Johnson 763-955-8131 |
Manufacturer Reason for Recall | Boston Scientific has received field reports regarding the AngioJet Ultra 5000 A Console foot switch sticking during use resulting in an undesired continued operation of the device. |
FDA Determined Cause 2 | Under Investigation by firm |
| Action | Field notification letters were sent on January 31, 2017 by certified mail to affected customers. Letters request that Users follow the operator's manual for service and maintenance and if they notice that the foot switch is sticking to discontinue use and contact BSC Technical support at 1 800-949-6708 or CETechSupportUSA@bsci.com. |
| Quantity in Commerce | 3402 units; 2626 in US; 786 units OUS |
| Distribution | US and Australia, Austria, Bahrain, Bangladesh, Belgium, Brazil, Bulgaria, Canada, Chile, China, Costa Rica, Croatia, Cyprus, Denmark, Dominican Rep., Ecuador, Egypt, Finland, France, Germany, Great Britain, Greece, Hong Kong, Hungary, Indonesia, Iraq, Ireland, Israel, Italy, Jordan, Lebanon, Lithuania, Malaysia, Mexico, Netherlands, New Zealand, Norway, Palestine, Panama, Philippines, Poland, Portugal, Puerto Rico, Russian Fed. ,Saudi Arabia, Singapore, Slovenia, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad, Tobago, Turkey, United Arab Emir., Venezuela, Virgin Islands, W.Bank/Gaza Strip |
| 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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| PMA Database | PMAs with Product Code = MCX
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