Date Initiated by Firm | January 10, 2011 |
Date Posted | March 03, 2011 |
Recall Status1 |
Terminated 3 on May 03, 2012 |
Recall Number | Z-1521-2011 |
Recall Event ID |
57847 |
510(K)Number | K072332 |
Product Classification |
Powered laser surgical instrument - Product Code GEX
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Product | Vari Lase WireFiber Laser Fiber, RED 7137, Rx ONLY, Sterile EO, Vascular Solutions Inc., 6464 Sycamore Court, Minneapolis, MN 55369
The VARI-LASE WireFiber is indicated for the treatment of varicose veins and varicosities associated with superficial reflux in the Great Saphenous Vein and for treatment of incompetence and reflux of superficial veins in the lower extremity. |
Code Information |
Lot #'s 550896 and 550898 |
Recalling Firm/ Manufacturer |
Vascular Solutions, Inc. 6464 Sycamore Ct N Maple Grove MN 55369-6032
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For Additional Information Contact | 763-656-4300 |
Manufacturer Reason for Recall | Investigations of a recent Device Experience Report has made us aware of a potential problem with our Vari-Lase WireFiber, Model 7137, manufactured with the following lot numbers: 5500898 and 550896.
Recently it was reported that the endovenous laser fiber cage and guidewire tip of the WireFiber became separated. It is possible that separation could occur during patient procedure and has the p |
FDA Determined Cause 2 | Nonconforming Material/Component |
Action | Vascular Solutions sent an "Urgent Medical Device Recall" letter dated January 10, 2011. The letter described the issue and the product affected. Advised consignees to immediately check their inventory , place affected product in a secure location, and to complete and return the Customer Inventory Form.
For questions regarding this recall call 763-656-4210. |
Quantity in Commerce | 41 |
Distribution | Nationwide Distribution - USA including CT, MA, MN, NY, VA |
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 = GEX
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