Date Initiated by Firm |
October 09, 2003 |
Date Posted |
November 06, 2003 |
Recall Status1 |
Terminated 3 on November 21, 2005 |
Recall Number |
Z-0101-04 |
Recall Event ID |
27557 |
510(K)Number |
K030654
|
Product Classification |
Powered Laser Surgical Instrument - Product Code GEX
|
Product |
Vari-Lase Endovenous Laser Procedural Kit, Model 7000 |
Code Information |
Lot numbers S000102, 300537, and 300536. |
Recalling Firm/ Manufacturer |
Vascular Solutions, Inc 2495 Xenium Ln N Minneapolis MN 55441-3625
|
For Additional Information Contact |
Brad Andersen 763-656-4307
|
Manufacturer Reason for Recall |
An internal gasket of the Fiber Lock component of the Vari-Lase Kit contains natural rubber latex, but the product labeling does not recognize the presence of latex and include the required cautionary statement.
|
FDA Determined Cause 2 |
Other |
Action |
Letters dated October 9, 2003 were sent to the consignees. The letters instruct the consignees to place the enclosed warning stickers, about latex in the product, on the boxes and pouches of any remaining product in inventory at the consignees. After completing the relabeling, consignees are to fill out the attached form and fax it to the firm to document the field correction. |
Quantity in Commerce |
390 kits |
Distribution |
The product was distributed nationwide in the United States and to Romania.
|
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 = GEX and Original Applicant = VASCULAR SOLUTIONS, INC.
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