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Class 2 Device Recall Integre Pro (Yellow LP561, LP6RY, Scan Green LP6G, Green LP5532), Spare Optics Bench V2 |
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Date Initiated by Firm |
March 16, 2023 |
Date Posted |
June 27, 2023 |
Recall Status1 |
Open3, Classified |
Recall Number |
Z-1971-2023 |
Recall Event ID |
92532 |
510(K)Number |
K142398 K081565
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Product Classification |
Laser, ophthalmic - Product Code HQF
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Product |
Integre Pro Yellow LP561, Integre Pro Yellow LP6RY, Integre Pro Scan Green LP6G, Integre Pro Green LP5532 Spare, Optics Bench V2, L2G/LP6G |
Code Information |
Serial Nos., UDI
IPY0374,
(01) 0 9342395 00012 0
ISRY0242,
(01) 0 9342395 00015 1
ISG0370,
(01) 0 9342395 00024 3
IPG0539,
(01) 0 9342395 00009 0
BG1190
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Recalling Firm/ Manufacturer |
Ellex Medical Pty Ltd. 3-4 Second Ave Mawson Lakes Australia
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For Additional Information Contact |
Richard Knapczyk 952-767-5781
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Manufacturer Reason for Recall |
When using a Laser-Indirect-Ophthalmoscope (LIO) as the delivery device, a scattered laser beam inside the laser cavity system may unintentionally exit through the Slit Lamp output port (SDS) and get emitted from the Objective Lens when the laser is fired.
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FDA Determined Cause 2 |
Radiation Control for Health and Safety Act |
Action |
Ellex Safety Bulletin is the customer notification letter. Ellex will, without charge, remedy the defect or bring the product into compliance with each applicable Federal standard in accordance with a plan to be approved by the Secretary of Health and Human Services. For questions contact your local Ellex-Lumibird representative or email us on eservice@ellex.com. |
Quantity in Commerce |
57 systems in total (6 units shipped to United States) |
Distribution |
US nationwide/ Worldwide Distribution |
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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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510(K) Database |
510(K)s with Product Code = HQF and Original Applicant = Ellex Medical Pty. Ltd.
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