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U.S. Department of Health and Human Services

Class 2 Device Recall Ultraflex Esophageal Stent System

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  Class 2 Device Recall Ultraflex Esophageal 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-1873-2010
Recall Event ID 55784
510(K)Number K032930  
Product Classification Prosthesis, esophageal - Product Code ESW
Product Ultraflex Esophageal Stent System. Covered - Large - Proximal Release - 23/28/12/9. Catalog Number M00514250. Single Use, Rx only. Boston Scientific, Natick, MA 01760.

Intended for maintaining esophageal luminal patency in esophageal structures caused by intrinsic and/or extrinsic malignant tumors only and occlusion of concurrent esophageal fistulas.
Code Information Lot Numbers: 11719045 11724984 11730519 11739735 11758860 11766259 11774495 11777143 11795313 11795315 11795747 11795763 11796008 11801027 11801490 11802516 11803656 11820724 11821974 11842687 11844355 11844358 11846564 11846567 11859311 11870370 11870914 11879533 11881728 11881733 11896058 11898224 11912084 11912087 11939279 11939387 11941468 11943227 11943231 11944923 11946808 11950577 11950579 11957955 11957956   11959226 11959229 11959854 11962714 11962715 11966089 11966095 11976134 11976136 11980941 11980948 11984100 11985490 11986052 11993327 11994703 12000431 12012604 12013638 12018783 12018793 12025261 12027612 12027618 12031725 12031735 12069097 12069098 12070679 12070760 12080426 12091026 12092333 12110014 12110472 12112183 12121139 12121211 12124535 12125531 12126010 12129557 12129558 12130322 12130613   12130615 12130919 12167505 12167509 12175379 12190056 12194142 12196631 12202053 12202058 12217038 12217074 12224497 12224498 12224808 12225780 12229300 12232510 12232513 12239805 12239811 12241299 12241500 12265999 12266244 12269166 12277042 12298771 12299625 12299626 12304008 12321580 12331558 12341876 12360093 12368636 12384937 12395288 12413526 12444004 12457796 12464955 12496904 12513232 12515792   12517009 12517326 12526858 12530160 12609036 12744766 12774480 12783325 12844409 12849086 12854719 12865029 12879551 12885635 12887673 12899623 12914805 12954056  
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 = ESW and Original Applicant = BOSTON SCIENTIFIC CORP.
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