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U.S. Department of Health and Human Services

Class 2 Device Recall Ultraflex tracheobronchial Stent System

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  Class 2 Device Recall Ultraflex tracheobronchial Stent System see related information
Date Initiated by Firm May 17, 2010
Date Posted June 25, 2010
Recall Status1 Terminated 3 on October 20, 2011
Recall Number Z-1821-2010
Recall Event ID 55784
510(K)Number K012883  
Product Classification Prosthesis, tracheal, expandable - Product Code JCT
Product Ultraflex Tracheobronchial Stent System. Uncovered - 12/20 Catalog Number: M00568960. Single Use, Rx only. Boston Scientific, Natick, MA 01760.

Indicated for the use in the treatment of tracheobronchial structures produced by malignant neoplasms.
Code Information Lot Numbers: 9720597 9755979 9756229 9813932 9814314 11034603 11035130 11063713 11063717 11093465 11093640 11153776 11153778 11186490 11186672 11218848 11218850 11297029 11374028 11374029 11392183 11392185 11533277 11533278 11544884 11544888 11590117 11590118 11670373 11670374 11682020 11682021 11738236 11738238 11751778 11751962 11783448 11783449 11820117 11820400 11847074 11847076 11880513 11880514 11890238   11890239 11909647 11909649 12011299 12011504 12035650 12035653 12103761 12126706 12145708 12145716 12174398 12174442 12176836 12176838 12247707 12247719 12256107 12256112 12274740 12274757 12404311 12425971 12469263 12511836 12554701 12591792 12644752 12668989 12691285 12742109 12834559 12835799 12847349 12863315 12872341 12982802 13115358 13120034 13136943 13148608 13313933    
Recalling Firm/
Manufacturer		 Boston Scientific Corporation
100 Boston Scientific Way
Marlborough MA 01752-1234
For Additional Information Contact same
508-683-8000
Manufacturer Reason
for Recall		 Suture related device failures during deployment and repositioning of the stent
FDA Determined
Cause 2		 Device Design
Action Boston Scientific issued an "Urgent Medical Device Recall - Immediate Action Required" notification dated May 17, 2010 to U.S. Distributors stating that use and distribution of products should cease immediately and return all affected product to the firm for replacement. Distributors were asked to complete and return reply a verification tracking form. For further information, contact Boston Scientific at 1-866-868-4004.
Quantity in Commerce Prosthesis, tracheal, expandable
Distribution Worldwide Distribution - Only US distributed product is affected by recall
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 = JCT and Original Applicant = BOSTON SCIENTIFIC CORP.
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