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U.S. Department of Health and Human Services

Class 2 Device Recall Ultraflex tracheobronchial Stent System

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  Class 2 Device Recall Ultraflex tracheobronchial Stent System see related information
Date Initiated by Firm May 17, 2010
Date Posted June 25, 2010
Recall Status1 Terminated 3 on October 20, 2011
Recall Number Z-1826-2010
Recall Event ID 55784
510(K)Number K012883  
Product Classification Prosthesis, tracheal, expandable - Product Code JCT
Product Ultraflex Tracheobronchial Stent System. Covered - 10/30/15 Catalog Number: M00569050. Single Use, Rx only. Boston Scientific, Natick, MA 01760.

Indicated for the use in the treatment of tracheobronchial structures produced by malignant neoplasms.
Code Information Lot Numbers: 9703315 9714662 9714664 9821713 9821714 11037142 11037488 11065953 11067756 11085020 11107374 11107379 11119412 11120147 11187951 11187955 11329333 11330281 11356485 11356486 11393422 11393424 11458543 11459948 11506685 11506686 11541160 11541162 11578196 11578520 11597599 11597682 11610973 11610975 11678541 11678549 11696764 11696767 11753789 11753920 11787647 11787649 11821207 11883892 11883922   11888074 11888321 11895796 11895845 11907389 11907390 11963638 11964061 12033762 12033763 12101027 12101029 12113346 12113347 12140516 12140517 12150322 12150326 12217034 12217323 12225070 12225213 12251730 12251733 12284357 12312841 12329238 12334705 12377720 12409688 12414272 12426158 12552665 12571603 12620323 12643126 12654667 12707139 12739832 12746937 12778328 12831272 12831461 12851487 12868350   12897747 12933682 12975410 12989155 12992395 12992922 13074849 13149043 13167175 13171927 13204146 13218651 13220534  
Recalling Firm/
Manufacturer		 Boston Scientific Corporation
100 Boston Scientific Way
Marlborough MA 01752-1234
For Additional Information Contact same
508-683-8000
Manufacturer Reason
for Recall		 Suture related device failures during deployment and repositioning of the stent
FDA Determined
Cause 2		 Device Design
Action Boston Scientific issued an "Urgent Medical Device Recall - Immediate Action Required" notification dated May 17, 2010 to U.S. Distributors stating that use and distribution of products should cease immediately and return all affected product to the firm for replacement. Distributors were asked to complete and return reply a verification tracking form. For further information, contact Boston Scientific at 1-866-868-4004.
Distribution Worldwide Distribution - Only US distributed product is affected by recall
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 = JCT and Original Applicant = BOSTON SCIENTIFIC CORP.
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