| | Class 2 Device Recall CX9625 Light Pipe (25 Gauge). |  |
| Date Initiated by Firm | November 10, 2003 |
| Date Posted | December 24, 2003 |
| Recall Status1 |
Terminated 3 on April 05, 2004 |
| Recall Number | Z-0264-04 |
| Recall Event ID |
27714 |
| 510(K)Number | K940393 |
| Product Classification |
Transilluminator, Ac-Powered - Product Code HJM
|
| Product | CX9625 Light Pipe (25 Gauge). The product is sold in packs containing six pipes. |
| Code Information |
Lot numbers: 207089, 209102, 02121321, 02171838, 02192048, 02212272, 02222332, 02242552, 02262741, 02272856, 02293066, 02313269, 02323381, 02333458, 02363752, 02383927, 02404141, 02414225, 02424507, 02434421, 02434520, 02444529, 02454627, 02454672, 02464725, 02474823, 02484921, 02505121, 03020326, 03040522, 03040669, 03060728, 03060803, 03060865, 03080924, 03101124, 03111222, 03131428, 03151624, 03171820, 03171998, 03192023, 03212226, 03212370, 03232422, 03242537, 03252628, 03262726, 03303276, and 03303313. |
| FEI Number |
1317628
|
Recalling Firm/ Manufacturer |
Bausch & Lomb Inc
1400 Goodman St N
Rochester
NY
14609-3547
|
| For Additional Information Contact | Glenn A. Davies 585-338-8215 |
Manufacturer Reason for Recall | The CX9625 Light Pipe connector may overheat; this condition could result in the plastic connector that plugs into the Millennium Microsurgical System to malfunction. |
FDA Determined Cause 2 | Other |
| Action | The recalling firm issued a recall notification dated 11/13/03 to their direct accounts. The recall notification explains the problem and return the product. |
| Quantity in Commerce | 2500 packs |
| Distribution | The product was shipped to hospitals/medical facilities and physicians in AZ, CA, CO, CT, FL, GA, HI, ID, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, NJ, NH, NY, NC, OH, PA, TN, TX, UT, VA, WA, WI, and WV. Nationwide. The product was also shipped to Puerto Rico, Argentina, Australia, Brazil, Canada, China, Hong, Kong, India, Japan, Korea, Malaysia, Mexico, New Zealand, The Netherlands, Philippines, Singapore, Spain, Taiwan, and Thailand. |
| 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.
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| 510(K) Database | 510(K)s with Product Code = HJM
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