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U.S. Department of Health and Human Services

Class 2 Device Recall

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 Class 2 Device Recallsee related information
Date Initiated by FirmFebruary 10, 2004
Date PostedJuly 20, 2004
Recall Status1 Terminated 3 on October 25, 2005
Recall NumberZ-0733-04
Recall Event ID 28398
510(K)NumberK031844 
Product Classification Port & Catheter, Implanted, Subcutaneous, Intravascular - Product Code LJT
ProductVaxcel Port with PASV Valve, 8 Fr polyurethane catheter, Low Profile PS port, Implantable Port System, Model # M001452380, Catalog #45-238
Code Information 791484, 791485
Recalling Firm/
Manufacturer
Boston Scientific Corporation
1 Boston Scientific Pl
Natick MA 01760-1536
For Additional Information ContactNancy Cutino
508-652-5066
Manufacturer Reason
for Recall
Reports of catheter separation/fracture after implantation resulting in distal migration of the catheter.
FDA Determined
Cause 2
Other
ActionLetters dated 2/9/04 with instructions to return current inventory . Also included is information concerning implanted ports.
Quantity in Commerce199
DistributionShipments were nationwide to 158 medical facilities nationwide.
Total Product Life CycleTPLC 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) Database510(K)s with Product Code = LJT
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