Recall Z-0112-2014

Fujinon Inc · initiated July 31, 2013

Class II Terminated

Class II – products that might cause a temporary health problem or pose a slight threat of a serious nature

Product

Fujinon/Fujifilm Ultrasonic Endoscope Intended to provide ultrasonic images of submucosal and peripheral organs of the upper gastrointestinal tract for observation, diagnosis and endoscopic treatment.

Codes / lots: Model Number EG-530UT2. Serial Numbers: NU038A018, NU038A019, NU038A022, NU038A027, NU038A028 and NU038A029

Reason for recall

A limited number of endoscopes were shipped to FMSU-ESD with a manufacturing defect which included missing set screws used to more securely attach the Forceps Inlet (biopsy inlet port) to the endoscope.

FDA-determined cause: Unknown/Undetermined by firm

Action taken

The firm, FUJIFILM Medical Systems, USA, Inc. (FMSU-ESD) sent an "URGENT-MEDICAL DEVICE CORRECTION (UMDC)" and Customer Acknowledgement forms dated July 31, 2013 to their customers. The letter described the issue with the affected product; instructed customers on how to identify affected units; instructed customers to immediately cease use of the affected units; return affected units to FMSU-ESD for repairs and quality control inspection; and complete and return the attached "Customers Acknowledgement" form to FMSU-ESD, Attn: Regulatory Compliance, via fax to (973) 686-2616 or email: gwalljasper@fujifilm.com. If you have any questions regarding this notice, please do not hesitate to contact Director, Quality and Regulatory Compliance, at (973) 686-2636 or by email: gwalljasper@fujifilm.com.

Details

Recall number
Z-0112-2014
Initiated
July 31, 2013
Posted by FDA
October 30, 2013
Terminated
March 4, 2014
Product code
FDS – Gastroscope And Accessories, Flexible/Rigid
Quantity
12 Units
Distribution
Worldwide distribution: US (nationwide) including states of: NJ, PA and VA; and country of Canada.
Recalling firm
Fujinon Inc, Wayne, NJ

Official FDA recall record