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U.S. Department of Health and Human Services

Class 3 Device Recall Medtronic Xomed

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  Class 3 Device Recall Medtronic Xomed see related information
Date Initiated by Firm January 29, 2004
Date Posted July 20, 2004
Recall Status1 Terminated 3 on May 03, 2012
Recall Number Z-0954-04
Recall Event ID 28980
510(K)Number K982594  
Product Classification Endoscopic Access Overtube, Gastroenterology-Urology - Product Code FED
Product The product is a sheath meant to fit over a Nasopharyngoscope and is labeled as EndoScrub 2 Sheaths
Code Information Lots 31396400 and 30722300
Recalling Firm/
Medtronic Xomed, Inc.
6743 Southpoint Dr N
Jacksonville FL 32216-6218
For Additional Information Contact David S. Dodd
Manufacturer Reason
for Recall
The sheaths in question have shafts that are one inch longer than required for the endoscope specified on the label.
FDA Determined
Cause 2
Action A Recall notification letter was mailed to each hospital account on January 29, 2004 for each type of device they received which was under recall explaining the error and asking the accounts to remove recalled product from inventory, fax them the response sheet and to return the products.
Quantity in Commerce 7 boxes, 5 sheaths per box
Distribution Products were distributed to 23 hospitals and surgical centers in NC, NB, IN, UT, TX, NY, WI, MO, TN, ID, OK, FL, MA, WY, NJ, LA.
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 = FED and Original Applicant = XOMED, INC.