| | Class 2 Device Recall Cook Bush |  |
| Date Initiated by Firm | March 07, 2017 |
| Date Posted | April 19, 2017 |
| Recall Status1 |
Terminated 3 on October 16, 2018 |
| Recall Number | Z-1870-2017 |
| Recall Event ID |
76927 |
| 510(K)Number | K923436 |
| Product Classification |
Light, catheter, fiberoptic, glass, ureteral - Product Code FCS
|
| Product | Bush DL Ureteral Illuminating Catheter Set
Bush SL Ureteral Illuminating Catheter Set |
| Code Information |
All lots. |
Recalling Firm/ Manufacturer |
Cook Inc. 750 N Daniels Way Bloomington IN 47404-9120
|
| For Additional Information Contact | Cook Medical Customer Relations 800-457-4500 |
Manufacturer Reason for Recall | Product may overheat, melt, and burn patient. |
FDA Determined Cause 2 | Device Design |
| Action | On 3/7/2017, URGENT: MEDICAL DEVICE RECALL notifications were sent to the affected consignees via courier. The recall notification included a description of the reason for the recall, affected product, consignee responsibilities, and instructions for responding to the formal recall notification.
Action To Be Taken:
1. Examine inventory immediately to determine if you have affected products and quarantine affected products.
2. Return the affected products to Cook Medical with a copy of the Acknowledgement and Receipt Form to
receive a product credit.
3. Even if you do not have affected products on hand, you must still complete the Acknowledgement and
Receipt Form and send it via fax (812.339.7316) or email to (fieldactionsna@cookmedical.com).
4. Complete and return the Acknowledgement and Receipt Form attached to this letter within 30 days.
5. Report adverse events to Cook Medical Customer Relations by phone at 800.457.4500 or 812.339.2235,
Monday through Friday between 7:30 am and 5:00 pm (Eastern time), or by email via
customerrelationsna@cookmedical.com.
This notice must be shared with appropriate personnel, including down to the user level, within your organization or to any organization where the potentially affected devices have been transferred.
Should you have any questions or concerns, please contact Cook Medical
Customer Relations at 800.457.4500 or 812.339.2235. |
| Quantity in Commerce | 19756 |
| Distribution | The devices have been distributed within the United States and the following countries: Bahamas, Belgium, Brazil, Canada, Chile, China, Cyprus, Czech Republic, Denmark, Dominican Republic, Egypt, Finland, France, Germany, Greece, Guatemala, Honduras, Hong Kong, Hungary, Ireland, Israel, Italy, Jersey, Kuwait, Mexico, Morocco, New Zealand, Norway, Panama, Paraguay, Portugal, Romania, Saudi Arabia, Spain, Sweden, Switzerland, Trinidad and Tobago, United Arab Emirates and the United Kingdom. |
| Total Product Life Cycle | TPLC Device Report |
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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 = FCS
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