| Class 2 Device Recall FORESIGHT ELITE Absolute Tissue Oximeter |  |
Date Initiated by Firm | March 01, 2022 |
Create Date | March 30, 2022 |
Recall Status1 |
Open3, Classified |
Recall Number | Z-0834-2022 |
Recall Event ID |
89647 |
510(K)Number | K143675 K203490 |
Product Classification |
Oximeter, tissue saturation - Product Code MUD
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Product | FORE-SIGHT ELITE Absolute Tissue Oximeter, REF: 01-06-3000, Contents: Monitor 1 EA., Accessory Kit 1 EA. |
Code Information |
FORE-SIGHT ELITE Tissue Oximeter, Model Number 01-06-3000, UDI: 10609538630009;
All Serial numbers.
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Recalling Firm/ Manufacturer |
Edwards Lifesciences, LLC 1 Edwards Way Irvine CA 92614-5688
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For Additional Information Contact | Linnette Torres 949-756-4582 |
Manufacturer Reason for Recall | The StO2 values may be inaccurately low when using either the FORE-SIGHT ELITE Tissue Oximeter
Module or the FORE-SIGHT ELITE Absolute Tissue Oximeter Monitor with the Fore-Sight Elite large sensor in certain somatic locations (arms and legs).
While the StO2 absolute values are impacted, the directional trend remains accurate, but may have a
larger magnitude change. Low StO2 values may lead to unintended or inappropriate treatment |
FDA Determined Cause 2 | Software in the Use Environment |
Action | Urgent Medical Device Correction communication dated March 01, 2022 was sent via FedEx 2nd Day
Advice on action to be taken by user:
Customers are to refrain from using the large sensors on certain somatic locations (arms and legs). Cerebral and flank/abdomen locations for the large sensors are not impacted.
Instructions for customers:
" Review the customer letter for advice on how to use impacted product.
" Please follow the instructions included in the enclosed acknowledgement form to complete the acknowledgement process.
" Do not return any product.
" Distribute this notice within your organization or to any organization where the potentially impacted product has been transferred.
" Verify your inventory.
" E-mail the completed form to Edwards Technical Support at tech_support@edwards.com, within 15 days from receipt of this notification.
Advice on action to be taken by Distributor:
Please review this letter and complete the acknowledgement form. Return the acknowledgement form to tech_support@edwards.com within 15 days of receipt of this notification. Please forward this customer communication to any of your customers who have purchased the impacted Edwards product. If you still have product within your control, please do not distribute impacted product to any customers. You can call Edwards Tech Support for instructions for handling product still within your control.
Alternatively, you can provide Edwards with a list of your customers who have purchased the impacted product from you and Edwards will communicate directly with your customers to facilitate the correction and acknowledgement process. Please forward your customer list to tech_support@edwards.com. If you have any questions, please contact Edwards Tech Support at 1 (800)-822-9837
If you have questions, contact Edwards Tech Support at 1 (800)-822-9837 from 5:00AM--4:30PM PST. |
Quantity in Commerce | 402 units |
Distribution | Worldwide distribution - US Nationwide distribution in the states of AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, WA, WI, WV, WY and the countries of Argentina, Australia, Austria, Bahrain, Belgium, Brazil, Brunei, Bulgaria, Canada, CANARY ISLANDS, Colombia, Costa Rica, Cyprus, Czech Republic, Denmark, Dominican Republic, Egypt, Estonia, Finland, France, Germany, Greece, Guatemala, Hong Kong, Hungary, Iceland, India, Iran, Ireland, Israel, Italy, Japan, Jordan, Kuwait, Malaysia, Mexico, Netherlands, New Zealand, Northern Ireland, Norway, Oman, Panama, Peru, Poland, Portugal, Qatar, Romania, Russia, Saudi Arabia, Singapore, Slovakia, Slovenia, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, United Arab Emirates (UAE), United Kingdom, Vietnam.
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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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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510(K) Database | 510(K)s with Product Code = MUD 510(K)s with Product Code = MUD
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