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U.S. Department of Health and Human Services

Class 2 Device Recall Fraxel re:store Dual Laser System

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  Class 2 Device Recall Fraxel re:store Dual Laser System see related information
Date Initiated by Firm December 15, 2010
Date Posted February 01, 2011
Recall Status1 Terminated 3 on November 14, 2011
Recall Number Z-1010-2011
Recall Event ID 57595
510(K)Number K091420  K101490  
Product Classification Powered laser surgical instrument with microbeam\fractional output - Product Code ONG
Product Fraxel re:store¿ Dual Laser System----a laser surgical instrument for use in general and plastic surgery and in dermatology.
Model Numbers: MC-SYS-SR1500-D-US; MC-SYS-SR1500-D-US-LOANER; MC-SYS-SR1500-D-UPG-US; MC-SYS-SR 1500-0-1 NTL; MC-SYS-SR1500-D-I-LOANER; MC-SYS-SR1500-D-UPG-INTL; Product is manufactured and distributed by Solta Medical, Inc., Hayward, CA

The Fraxel re:store¿ Dual Laser System is indicated for use in dermatological procedures requiring the coagulation of soft tissue.
Code Information Serial Numbers: F1196J, J0007, J0010-J0058, J0060-J0203, J0205, J0207-J0209, J0211-J0337, J0339-J0359, J0361-J0414, J0417-J0419, J0426
Recalling Firm/
Manufacturer
Solta Medical, Inc.
25881 Industrial Blvd
Hayward CA 94545-2991
For Additional Information Contact Kristine Foss
510-259-7119
Manufacturer Reason
for Recall
The product has the potential to cause inadvertent laser firing which may lead to patient/operator injury if the problem recurs.
FDA Determined
Cause 2
Software design
Action The firm, Solta Medical, issued three "DEVICE CORRECTION" letters, one dated December 15, 2010, the second one date December 17, 2010 and the third one dated December 20, 2010, to all affected customers. The letters described the product, problem and action to be taken by the customers. The customers were instructed to follow the instructions carefully, sign and date the bottom of the instruction form upon completion of the update and promptly return the signed form and USB stick in the enclosed, return-addressed envelope (Product Support, Solta Medical, 25881 Industrial Blvd., Hayward, CA 94545) Note: Solta Medical sales personnel will assist with the software update process so, if your local representative has already updated your system, you do not need to do anything further. If you have any questions, please call Solta Product Support at (510) 259-7291.
Quantity in Commerce 352 units
Distribution Worldwide Distribution: USA and countries including: Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, China, Egypt, Germany, Greece, Hong Kong, India, Italy, Japan, Korea, Kuwait, Mexico, Netherlands, New Zealand, Pakistan, Philippines, Poland, Russia, Singapore, South Africa, Spain, Thailand, Turkey, Ukraine, United Kingdom, and Vietnam
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 = ONG and Original Applicant = SOLTA MEDICAL, INC.
510(K)s with Product Code = ONG and Original Applicant = THERMAGE, INC.
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