Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1614-2016Class I

NeuroBlate System SideFire Select 2.2 mm Directional Laser Probe, Sterile EO. Model #s SFS000-01,SFS002-01...

Monteris Medical Corp / initiated 2016-03-25 / Terminated / root cause: design

Monteris Medical Corp began a recall of NeuroBlate System SideFire Select 2.2 mm Directional Laser Probe, Sterile EO. Model #s SFS000-01,SFS002-01, SFS122-01, SFS222-01, SFS322-01, SFS422-01, and... on . FDA classified it as Class I and gives the reason as "Monteris received a report that the sapphire lens on a 2.2SF probe fractured during a LITT procedure, with resulting introduction of C02 into the patient's brain". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-1614-2016
Classification
Class I
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Monteris Medical Corp
Product
NeuroBlate System SideFire Select 2.2 mm Directional Laser Probe, Sterile EO. Model #s SFS000-01,SFS002-01, SFS122-01, SFS222-01, SFS322-01, SFS422-01, and SFS522-01. NeuroBlate System SideFire Select Directional Laser Probes are part of the NeuroBlate System. The Monteris Medical NeuroBlate System is indicated for use to ablate, necrotize, or coagulate soft tissue through interstitial irradiation or thermal therapy in medicine and surgery in the discipline of neurosurgery with 1064 nm lasers. The Monteris Medical NeuroBlate System is intended for planning and monitoring thermal therapies under MRI visualization. It also provides real-time thermographic analysis of selected MRI images. The laser delivery probes direct the laser energy to the proper treatment location.
Product code
GEX Powered Laser Surgical Instrument
Reason for recall
Monteris received a report that the sapphire lens on a 2.2SF probe fractured during a LITT procedure, with resulting introduction of C02 into the patient's brain.
Root cause tag
design
FDA root cause
Device Design
Action
Monteris Medical Corporation field personnel visited each consignee starting March 25, 2016 and April 1, 2016. The devices were physically removed from each site. Customers from whom the devices were removed will either receive a credit or receive replacements of other models of laser delivery probes.
Quantity in commerce
121
Distribution
Nationwide Distribution in the states of KS, MO, NC, OH, and VA.
Product codes and lots
All unexpired lots of these models are being removed from the market.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1614-2016
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1614-2016Class ITerminatedVoluntary: Firm initiated