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U.S. Department of Health and Human Services

Class 2 Device Recall

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  Class 2 Device Recall see related information
Date Initiated by Firm October 29, 2004
Date Posted December 15, 2004
Recall Status1 Terminated 3 on July 07, 2012
Recall Number Z-0310-05
Recall Event ID 30357
510(K)Number K925640  
Product Classification Stimulator, Nerve - Product Code ETN
Product Brand name:
NIM¿ EMG Endotracheal Tube REF 82-29106, 82-29107, 82-29108

NIM¿ EMG Reinforced Endotracheal Tube REF 82-29306, 82-29307, 82-29308

[All products are packaged one unit per box.]
Code Information Product Code: 77 ETN  Lot Numbers: 32423300 through 35505400, and 35542200, 35542300, 35542400, 35542500, 35542600, 35543400, 35597200, 35602100, 35633400, 35633600, 35638200, 35638400 
Recalling Firm/
Medtronic Xomed, Inc.
6743 Southpoint Dr N
Jacksonville FL 32216-6218
Manufacturer Reason
for Recall
The firm received six reports of tubes with wires 'out of channel' two of which involved injuried patients. In one case in Germany it was reported that the patient had soreness of the throat and was discharged after four days. In the next case the patient had a tracheal wound. It was not clear what caused the wound.
FDA Determined
Cause 2
Quantity in Commerce 22569 EMG Tubes
Distribution Distributed nationwide and worldwide. to countries in the five continents with the highest populations.
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 = ETN and Original Applicant = XOMED-TREACE, INC.