| Date Initiated by Firm | May 22, 2023 |
| Date Posted | June 21, 2023 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-1978-2023 |
| Recall Event ID |
92345 |
| 510(K)Number | K200972 |
| Product Classification |
Hemostatic device for endoscopic gastrointestinal use - Product Code QAU
|
| Product | Hemospray Endoscopic Hemostat: Reference Part Numbers: a) HEMO-7, REF G56572; b) HEMO-7-EU, REF G24663; |
| Code Information |
UDI/DI : a) 00827002565722, b) 00827002246638; All unexpired lot numbers
|
| FEI Number |
1037905
|
Recalling Firm/ Manufacturer |
Wilson-Cook Medical Inc. 4900 Bethania Station Rd Winston Salem NC 27105-1203
|
| For Additional Information Contact | Cook Medical Customer Relations 800-457-4500 |
Manufacturer Reason for Recall | There are potential risks of the Hemospray powder adhering to the distal end of the endoscope, which can result in adhesion of the endoscope to tissue and consequent difficulty or inability to maneuver/remove the endoscope. |
FDA Determined Cause 2 | Under Investigation by firm |
| Action | The firm notified their consignees by letter and email beginning on 05/22/2023. The notice explained the issue, risk, and requested the following: Complete and return the Acknowledgement Form, ensure the notification is shared with appropriate personnel, down to the user level or customers if devices were further distributed, report any adverse events. |
| Quantity in Commerce | 63,830 units |
| Distribution | US Nationwide - 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 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 = QAU
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