Medical Device
Manufacturing
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Z-0643-2018Class II

Pentax Video Duodenoscope Model: ED-3490TK (UDI of design being recalled: 04961333232420) These instruments...

PENTAX of America, Inc. / initiated 2018-02-13 / Terminated / root cause: design

Pentax of America Inc began a recall of Pentax Video Duodenoscope Model: ED-3490TK (UDI of design being recalled: 04961333232420) These instruments are intended to provide optical visualization of... on . FDA classified it as Class II and gives the reason as "The duodenoscopes are being recalled in order to replace the forceps elevator mechanism, the O-rings, and the distal end covering to be consistent with the updated design as well as provide an updated periodic...". As of , the recall status on record is Terminated, and MDM tags the root cause as design.

Recall record

Recall number
Z-0643-2018
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
PENTAX of America, Inc.
Product
Pentax Video Duodenoscope Model: ED-3490TK (UDI of design being recalled: 04961333232420) These instruments are intended to provide optical visualization of (via a video monitor), and therapeutic access to, the biliary tract via the upper GI tract. This anatomy includes, but is not restricted to, the organs; tissues; and subsystems: esophagus, stomach, duodenum, common bile, hepatic, and cystic ducts.
Product code
FDT Duodenoscope And Accessories, Flexible/Rigid
Reason for recall
The duodenoscopes are being recalled in order to replace the forceps elevator mechanism, the O-rings, and the distal end covering to be consistent with the updated design as well as provide an updated periodic inspection as part of the Operation Manual in order to mitigate the potential risk of infection in flexible endoscopy.
Root cause tag
design
FDA root cause
Device Design
Action
Pentax Medical sent an Urgent Medical Device Correction/Removal letter dated February 7, 2018, to the United States Customers. The consignee letter includes a customer response form and a revised operator manual with the added recommended periodic maintenance. The letter requests the return of the form which includes an accounting of the devices (by serial number) owned by the facility. The firm is to contact the consignee to arrange return of the affected units and to provide loaner devices as needed. For further questions, please call 1 (800) 431-5880 ext. 2064.
Quantity in commerce
559
Distribution
USA (nationwide) Distribution to the states of including Puerto Rico : AL, AZ, CA, CO, CT, DE, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, NC, NH, NJ, NV, NY, OH, OK, PA, TN, TX, UT, VA, WA, WI, WV and WY, and the District of Columbia.
Product codes and lots
All Serial Numbers

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0643-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0643-2018Class IITerminatedVoluntary: Firm initiated