Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-2294-2021Class II

Soltive Premium Super Pulsed Laser System (TFL-PLS) & Pro Super Pulsed Laser System (TFL-SLS). Intended for...

OLYMPUS Corporation of the Americas / initiated 2021-06-30 / Terminated / root cause: software

Olympus Corporation of the Americas began a recall of Soltive Premium Super Pulsed Laser System (TFL-PLS) & Pro Super Pulsed Laser System (TFL-SLS). Intended for incision, excision, resection, ablation... on . FDA classified it as Class II and gives the reason as "Thermal injury following dusting and fragmenting treatment of ureteral stones when user exceeded the 20W standard presets". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-2294-2021
Classification
Class II
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
OLYMPUS Corporation of the Americas
Product
Soltive Premium Super Pulsed Laser System (TFL-PLS) & Pro Super Pulsed Laser System (TFL-SLS). Intended for incision, excision, resection, ablation, coagulation, hemostasis, and vaporization of soft tissue, with or without an endoscope, in urology, lithotripsy, gastroenterological surgery and gynecological surgery
Product code
GEX Powered Laser Surgical Instrument
Reason for recall
Thermal injury following dusting and fragmenting treatment of ureteral stones when user exceeded the 20W standard presets
Root cause tag
software
FDA root cause
Software design
Action
Olympus issued Urgent Medical Device Correction on June 30, 2021 via Federal Express Second Day Delivery. Letter states reason for recall, health risk and action to take: To mitigate and prevent thermal injury events, Olympus is issuing a software upgrade for the Soltive Laser to version 2.1. Software version 2.1 includes a new Ureteral Stone Preset of 8W under the Lithotripsy treatment mode. The Soltive Laser Instructions for Use (IFU) has been updated to reflect these software changes which also includes a pop-up alert reminding user to consider the potential clinical consequences of selecting settings greater than 20W in sensitive anatomy like the ureter. Enclosed with this letter is an addendum to the IFU containing a summary of the new updated IFU sections. Action Steps: 1. Starting June 2021 an Olympus representative will reach out to you to arrange a mutually convenient time to have your product(s) updated. 2. Access the Olympus recall portal to indicate that you have received this notification. Go to https://olympusamerica.com/recall. Enter the recall number Recall-0XXX and provide your contact information as indicated in the portal. 3. If you have distributed these devices outside your facility, please notify your customers of this corrective action immediately. Your notification to your customers may be enhanced by including a copy of this recall notification letter. Olympus regrets any inconvenience from this corrective action and fully appreciates your prompt cooperation in addressing this situation. Please do not hesitate to contact me directly at at [email protected] for any additional information concerning this matter.
Quantity in commerce
408 units
Distribution
US Nationwide Distribution Foreign: Canada Australia Japan Hong Kong Europe Singapore
Product codes and lots
Software Version 2.0 (all serial numbers)

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-2294-2021
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-2294-2021Class IITerminatedVoluntary: Firm initiated