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U.S. Department of Health and Human Services

Class 2 Device Recall Impulse

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 Class 2 Device Recall Impulsesee related information
Date Initiated by FirmFebruary 13, 2004
Date PostedJuly 20, 2004
Recall Status1 Terminated 3 on December 28, 2006
Recall NumberZ-0729-04
Recall Event ID 28447
Product Classification Catheter, Intravascular, Diagnostic - Product Code DQO
ProductImpulse 5F 145 (degree) Multipack Angiographic Catheters, Catalog Number H749163913011
Code Information Lot Number 400934 
FEI Number 3002095335
Recalling Firm/
Manufacturer
Boston Scientific Scimed
1 Scimed Pl
Maple Grove MN 55311-1565
For Additional Information ContactAnne Marie Reali
763-494-1408
Manufacturer Reason
for Recall
Some of the catheters may have yellow foreign material in their pigtail tips. The foreign material in the device could cause a stroke or significant damage to organs other than the brain.
FDA Determined
Cause 2
Other
ActionConsignees were sent a recall letter dated February 13, 2004. The letter requested that consignees discontinue use of the recalled catheters and return them.
Quantity in Commerce11 catheters
DistributionThe product was shipped to consignees in Florida in the United States.
Total Product Life CycleTPLC 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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