Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0778-2021Class II

Hot AXIOS Stent and Electrocautery - Enhanced Delivery System 20mm x10mm (OUS) UPN: M00553560 -

Boston Scientific Corporation / initiated 2020-12-01 / Terminated / root cause: manufacturing process

Boston Scientific Corporation began a recall of Hot AXIOS Stent and Electrocautery - Enhanced Delivery System 20mm x10mm (OUS) UPN: M00553560 - Product Usage: The stent is intended for implantation up to 60... on . FDA classified it as Class II and gives the reason as "The rotating luer fitting at the distal end of the delivery system handle may become detached from the nose of the delivery during device preparation, stent delivery or use, resulting in delay or procedure or risk of...". As of , the recall status on record is Terminated, and MDM tags the root cause as manufacturing process.

Recall record

Recall number
Z-0778-2021
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Boston Scientific Corporation
Product
Hot AXIOS Stent and Electrocautery - Enhanced Delivery System 20mm x10mm (OUS) UPN: M00553560 - Product Usage: The stent is intended for implantation up to 60 days and should be removed upon confirmation of pseudocyst or walled-off necrosis resolution.
Product code
PCU Pancreatic Stent, Covered, Metallic, Removable
Reason for recall
The rotating luer fitting at the distal end of the delivery system handle may become detached from the nose of the delivery during device preparation, stent delivery or use, resulting in delay or procedure or risk of peritonitis developing from leakage of enteric, pseudocyst, or biliary contents into the peritoneal cavity
Root cause tag
manufacturing process
FDA root cause
Process control
Action
Boston Scientific issued customer notification letters to consignees via Federal Express Priority Overnight mail on December 1, 2020. The letter states reason for recall, health risk and action to take: Cease further distribution or use of any remaining product affected by this removal immediately. Verify by product lot/batch number in the product table whether any product within your inventory is affected. If so, indicate on your Reply Verification Tracking Form the quantity of units from each lot/batch that you will be returning. If you identify any product from the affected lots/batches within your inventory, please segregate the product immediately and return it to BSC in accordance with the enclosed instructions. If you are a distributor, please note that the depth of this removal is to the end user level and this notification should be forwarded to your customers. If you are a facility that has sent products to another hospital or facility within your network, please ensure that this notification is forwarded to them. Your local Sales Representative can answer any questions that you may have regarding this notification.
Quantity in commerce
78 units
Distribution
US Nationwide distribution - Foreign: TBD.
Product codes and lots
Lot Number: 26167277, 26171099, 26152171, 26171383, 26171380, 26152172 Exp. Date Range: 10/8/2021 10/12/2021 GTIN: 08714729951100

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0778-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0773-2021Class IITerminatedVoluntary: Firm initiated
Z-0774-2021Class IITerminatedVoluntary: Firm initiated
Z-0775-2021Class IITerminatedVoluntary: Firm initiated
Z-0776-2021Class IITerminatedVoluntary: Firm initiated
Z-0777-2021Class IITerminatedVoluntary: Firm initiated
Z-0778-2021Class IITerminatedVoluntary: Firm initiated