Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2073-2020Class II

CapsoCam Plus *** System, Imaging, Gastrointestinal, Wireless, Capsule, Electrical Rating 3.1V DC/10mA REF...

CapsoVision, Inc. / initiated 2019-07-03 / Terminated / root cause: manufacturing process

Capso Vision, Inc. began a recall of CapsoCam Plus *** System, Imaging, Gastrointestinal, Wireless, Capsule, Electrical Rating 3.1V DC/10mA REF 2795 - Product Usage: The CapsoCam Plus video... on . FDA classified it as Class II and gives the reason as "Possible mis-labeling of the device with incorrect serial number labels which may result in a patient's misdiagnosis". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-2073-2020
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
CapsoVision, Inc.
Product
CapsoCam Plus *** System, Imaging, Gastrointestinal, Wireless, Capsule, Electrical Rating 3.1V DC/10mA REF 2795 - Product Usage: The CapsoCam Plus video capsule system is intended for visualization of the small bowel mucosa in adults. It may be used as a tool in the detection of abnormalities of the small bowel.
Product code
NEZ System, Imaging, Gastrointestinal, Wireless, Capsule
Reason for recall
Possible mis-labeling of the device with incorrect serial number labels which may result in a patient's misdiagnosis.
Root cause tag
manufacturing process
FDA root cause
Process control
Action
On 07/03/2019, the firm sent an "URGENT: Medical Device Voluntary Recall Letter" to customers via email informing them that this recall is being initiated due to the discovery of possible mis-labeling of the device packaging with an incorrect serial number label and that the firm is aware of one incident of incorrect serial number. Actions to be taken by customers are to ship back the affected capsules with serial numbers provided with the notification letter. Customer are asked to notify the Recalling Firm by email if they are experiencing inventory shortage and replacements will be shipped as soon as the firm is notified. For any the Recalling Firm directly with any concerns or questions at (408) 866-6358 Monday through Friday, 8:00 AM to 4:30 PM (Pacific Time), or at email address [email protected]
Quantity in commerce
44 units
Distribution
US Nationwide distribution including in the states of FL, GA, NY, PA, and TX.
Product codes and lots
Lot Number: 02-18-0036  Serial Number and UDI Codes: A00ZD4.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZD4.699;  A00ZJ2.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZJ2.699;  A00ZK2.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZK2.699;  A00ZM0.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZM0.699;  A00ZM3.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZM3.699;  A00ZN3.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZN3.699;  A00ZQ5.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZQ5.699;  A00ZW6.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZW6.699;  A01004.699 0100867770000209 13180921 17200921 1002-18-0036 21A01004.699;  A0100H.699 0100867770000209 13180921 17200921 1002-18-0036 21A0100H.699;  A0102J.699 0100867770000209 13180921 17200921 1002-18-0036 21A0102J.699;  A0104G.699 0100867770000209 13180921 17200921 1002-18-0036 21A0104G.699;  A0104U.699 0100867770000209 13180921 17200921 1002-18-0036 21A0104U.699;  A00ZD6.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZD6.699;  A00ZJ5.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZJ5.699;  A00ZK4.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZK4.699;  A00ZX4.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZX4.699;  A010AA.699 0100867770000209 13180921 17200921 1002-18-0036 21A010AA.699;  A00ZL7.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZL7.699;  A00ZL8.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZL8.699;  A0102T.699 0100867770000209 13180921 17200921 1002-18-0036 21A0102T.699  A010A8.699 0100867770000209 13180921 17200921 1002-18-0036 21A010A8.699;  A010TD.699 0100867770000209 13180921 17200921 1002-18-0036 21A010TD.699;  A00ZY5.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZY5.699;  A010QP.699 0100867770000209 13180921 17200921 1002-18-0036 21A010QP.699;  A010T9.699 0100867770000209 13180921 17200921 1002-18-0036 21A010T9.699;  A010UC.699 0100867770000209 13180921 17200921 1002-18-0036 21A010UC.699;  A00ZL4.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZL4.699;  A00ZN4.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZN4.699;  A00ZP5.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZP5.699;  A00ZQ4.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZQ4.699;  A00ZW9.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZW9.699;  A00ZY1.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZY1.699;  A00ZY4.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZY4.699;  A00ZY6.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZY6.699;  A00ZZ7.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZZ7.699;  A010N1.699 0100867770000209 13180921 17200921 1002-18-0036 21A010N1.699;  A00ZC7.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZC7.699;  A00ZG3.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZG3.699;  A00ZX7.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZX7.699;  A010PH.699 0100867770000209 13180921 17200921 1002-18-0036 21A010PH.699;  A00ZC2.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZC2.699;  A00ZC6.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZC6.699;  A00ZH4.699 0100867770000209 13180921 17200921 1002-18-0036 21A00ZH4.699

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2073-2020
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2073-2020Class IITerminatedVoluntary: Firm initiated