| | Class 2 Device Recall Powered Laser Surgical Instrument |  |
| Date Initiated by Firm | August 13, 2024 |
| Date Posted | October 18, 2024 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-0134-2025 |
| Recall Event ID |
95380 |
| 510(K)Number | K221306 |
| Product Classification |
Powered laser surgical instrument - Product Code GEX
|
| Product | Soltive Premium SuperPulsed Laser - Intended for incision, excision, resection, ablation, coagulation, hemostasis, and vaporization of soft tissue,
Model/Catalog Number: TFL-PLS |
| Code Information |
UDI 00821925044111
All Serial Numbers:
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| FEI Number |
2429304
|
Recalling Firm/ Manufacturer |
Olympus Corporation of the Americas
3500 Corporate Pkwy
Center Valley
PA
18034-8229
|
| For Additional Information Contact | Cynthia Ow 484-896-5000 |
Manufacturer Reason for Recall | The term Bladder Stone was incorrectly translated in both Spanish and Portuguese to Kidney Stone(Clculo renal) on the systems Graphical User Interface (GUI),
a potential to deliver an incorrect or unintended amount of energy to the patients anatomy. |
FDA Determined Cause 2 | Under Investigation by firm |
| Action | Olympus issued Urgent Medical Device Correction Letter on 9/12/24 to Operating Room Director, Risk Management. Letter states reason foe recall, health risk and action to take:
1. Carefully read the content of this notification.
2. Please check all areas of your facility to determine if you have the devices specified above.
3. Ensure all personnel are completely knowledgeable and thoroughly trained on the content of this notification and the Soltive Laser System Instructions for Use.
4. If you have further distributed this product, identify your customers, and forward them this notification.
5. Olympus requests that you acknowledge receipt of this letter through our recall web portal:
a. Go to https://olympusamerica.com/recall
b. Enter the recall number: "0452
c. Complete the form as instructed.
If you require additional information, please do not hesitate to contact me at Cynthia.Ow@Olympus.com or by phone at (647) 999-3203 |
| Quantity in Commerce | 1373 units |
| Distribution | Worldwide distribution - US Nationwide and the countries of AU, CA, CL, DE, HK, JP, SG. |
| 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 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 = GEX
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