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Class 2 Device Recall Fraxel re:store Dual Laser System |
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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
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Product Classification |
Powered laser surgical instrument with microbeam\fractional output - Product Code ONG
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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.
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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
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For Additional Information Contact |
Kristine Foss 510-259-7119
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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.
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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
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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.
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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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