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U.S. Department of Health and Human Services

Class 2 Device Recall Convoy Advanced Delivery Sheath Kits

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  Class 2 Device Recall Convoy Advanced Delivery Sheath Kits see related information
Date Initiated by Firm December 24, 2008
Date Posted April 09, 2009
Recall Status1 Terminated 3 on April 06, 2010
Recall Number Z-1071-2009
Recall Event ID 50771
510(K)Number K013866  
Product Classification Introducer, catheter - Product Code DYB
Product Convoy Advanced Delivery Sheath Kit, Model Numbers:

M0045660ST0,
M0045661ST0,
M0045662ST0,
M0045663ST0,
M0045665ST0,
M0045667ST0,
M0045670ST0,
M0045672ST0,
M0045675ST0,
M0045676ST0,
M0045690ST0,
M0045890ST0,
M0045748ST0 and
M0045749ST0.

Manufactured by Thomas Medical Products, Malvern, PA.


Product is intended for use to facilitate the intracardiac placement of interventional devices.
Code Information Batch Numbers: S1721 4 S1899 6 S2103 9 S2287 6 S2497 2 S1724 9 S1903 2 S2105 6 S2287 7 S2513 9 S1732 2 S1913 1 S2109 5 S2295 6 S2522 7 S1733 8 S1913 2 S2115 2 S2295 9 S2524 0 S1735 6 S1913 3 S2118 9 S2296 4 S2536 0 S1737 1 S1926 5 S2123 4 S2297 1 S2553 7 S1737 2 S1930 1 S2135 6 S2299 4 S2553 8 S1737 4 S1956 3 S2151 1 S2299 5 S2555 1 S1757 4 S1962 0 S2156 4 S2301 4 S2557 8 S1766 6 S1962 1 S2161 5 S2305 1 S2562 9 S1766 7 S1964 4 S2166 4 S2306 9 S2566 1 S1766 8 S1970 4 S2166 5 S2307 0 S2566 4 S1792 6 S2015 1 S2166 6 S2308 9 S2567 6 S1792 S2015 S2180 S2309 and S2579.
Recalling Firm/
Manufacturer		 Boston Scientific Corp
150 Baytech Dr
San Jose CA 95134-2302
For Additional Information Contact
508-652-5594
Manufacturer Reason
for Recall		 The marker band may detach from the sheath and a clinical failure could result in an embolism.
FDA Determined
Cause 2		 Process design
Action The firm initiated the recall on December 24, 2009 and notified consignees via "Urgent Company Initiated Medical Device Recall - Immediate Action Required" letters which explain the reason for the recall and request the affected product be returned to the Boston Scientific Corporation Distribution Center. An amendment letter with two additional Convoy Advanced Delivery Sheath Kit models (M0045748ST0 and M0045749ST0) was sent to affected customers on January 27, 2009. Direct questions about this recall to your local Sales Representative.
Quantity in Commerce 31,340 of all units
Distribution Worldwide Distribution.
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 = DYB and Original Applicant = BOSTON SCIENTIFIC
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