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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-1829-2010
Recall Event ID 55784
510(K)Number K012883  
Product Classification Prosthesis, tracheal, expandable - Product Code JCT
Product Ultraflex Tracheobronchial Stent System. Uncovered - 12/30 Catalog Number: M00569080. 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 Catalog Numbers: 9663612 9693003 9693004 9708705 9709379 9763608 9763610 9828124 9828280 11027105 11027229 11053709 11076452 11151542 11171283 11171287 11199522 11203740 11203744 11261000 11261458 11281926 11282276 11539261 11540270 11582708 11582709 11643976 11644160 11688258 11688640 11698615 11698685 11724216 11724217 11772331 11772332 11821584 11821588 11860799 12002002 12002178 12013093 12013094 12018679 12019188 12082197 12082420 12129860 12129863 12169049 12169051 12181375 12181395 12229947 12229950 12293029 12293033 12298605 12298607 12317788 12368065 12388264 12430522 12490847 12495053 12568403 12606620 12624516 12644379 12732528 12754940 12759600 12830237 12896795 12930767 13015806 3019421 13075118 13110000 13125440 13232453 13237201  
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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