Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-1776-2020Class II

Medivators EndoGator REF 100650. Kit for Olympus 140/160/180/190 Series GI Endoscopes forCO2 Connection with...

Medivators Inc / initiated 2019-10-09 / Terminated / root cause: manufacturing process

Medivators, Inc. began a recall of Medivators EndoGator REF 100650. Kit for Olympus 140/160/180/190 Series GI Endoscopes forCO2 Connection with Olympus OFP or Boston Scientific Endostat II... on . FDA classified it as Class II and gives the reason as "Medivators is recalling Endo SmartCap Tubing due to a manufacturing anomaly that may present during procedures as inadequate insufflation, presence of air bubbles inside the endo smartcap tubing, insufficient water to...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-1776-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Medivators Inc
Product
Medivators EndoGator REF 100650. Kit for Olympus 140/160/180/190 Series GI Endoscopes forCO2 Connection with Olympus OFP or Boston Scientific Endostat II Irrigation Pump Units. Contents 10. Sterile EO. of 100145CO2EXT Endo SmartCap Irrigation Tubing for Olympus 140/240, 160/260, 180/280, 190/290 Series GI Endoscopes with Extended CO2 Input - Product Usage: is intended to be used with an air or CO2 source and/or a pump along with a sterile water source to supply air or CO2 and sterile water to an endoscope during endoscopic procedures.
Product code
FAJ Cystoscope And Accessories, Flexible/Rigid
Reason for recall
Medivators is recalling Endo SmartCap Tubing due to a manufacturing anomaly that may present during procedures as inadequate insufflation, presence of air bubbles inside the endo smartcap tubing, insufficient water to rinse the endoscope lens, or water leaking from the air/water valve.
Root cause tag
manufacturing process
FDA root cause
Equipment maintenance
Action
An Urgent Medical Device Recall Notification letter was sent to customers via certified mail next day delivery on 10/09/2019. The letter identified affected product, stated reason for recall, asked for product to be quarantined and discontinue use. Customers are to return product to Medivators by obtaining a Return Material Authorization from Customer Service. A response form was asked to be returned. Questions can be directed to Customer Service at 1-800-444-4729.
Quantity in commerce
53,790 units total
Distribution
Worldwide distribution - US Nationwide distribution and the countries of Australia, England.
Product codes and lots
Lot # / Case UDI#s: 429694 / 2067796406529722070110429694,  429695 / 2067796406529722060110429695,  430357 / 2067796406529722070110430357,  430566 / 2067796406529722070110430566,  432106 / 2067796406529722080110432106,  431602 / 2067796406529722070110431602,  431611 / 2067796400000722070110431611,  431972 / 2067796406529722070110431972,  432728 / 2067796406529722080110432728,  431833 / 2067796406529722080110431833,  432920 / 2067796406529722080110432920,  432919 / 2067796406529722080110432919.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-1776-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-1772-2020Class IITerminatedVoluntary: Firm initiated
Z-1773-2020Class IITerminatedVoluntary: Firm initiated
Z-1774-2020Class IITerminatedVoluntary: Firm initiated
Z-1775-2020Class IITerminatedVoluntary: Firm initiated
Z-1776-2020Class IITerminatedVoluntary: Firm initiated
Z-1777-2020Class IITerminatedVoluntary: Firm initiated
Z-1778-2020Class IITerminatedVoluntary: Firm initiated