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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-1825-2010
Recall Event ID 55784
510(K)Number K012883  
Product Classification Prosthesis, tracheal, expandable - Product Code JCT
Product Ultraflex Tracheobronchial Stent System. Covered - 14/30/15 Catalog Number: M00569040. 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: 9719329 9719476 9729181 9747916 9747921 9785574 9785747 11006481 11006663 11042916 11043090 11074295 11074881 11115970 11115971 11160469 11180422 11217496 11217564 11235362 11251397 11251560 11258555 11258557 11275758 11275941 11318345 11318350 11498129 11498131 11565628 11588877 11613354 11613355 11645064 11645070 11729278 11729991 11730401 11744479 11744701 11748621 11748625 11782235 11782320   11804654 11823976 11823977 11828579 11828765 11846774 11846775 11865642 11865645 11901264 11957879 11957942 11958712 11959235 11968138 11968608 11992410 12017068 12107569 12107576 12119779 12120061 12140337 12140501 12159709 12159711 12234169 12234170 12244050 12244051 12250400 12250404 12310678 12320289 12352241 12376738 12393799 12412806 12450877 12496948 12510971 12535301 12598614 12601477 12615078   12651492 12676873 12696897 12755536 12779717 12832673 12843633 12862111 12871361 12901537 12927773 12931867 12982299 13005936 13052037 13065350 13071860 13121813 13131549 13183683 13190261 13263228 13313935 13318995  
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.
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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