Recall Z-0773-2021

Boston Scientific Corporation · initiated December 1, 2020

Class II Terminated

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

Product

AXIOS Stent and Electrocautery - Enhanced Delivery System 10mm x10mm UPN: M00553640 - 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.

Codes / lots: Lot Number: 26134666 Exp. Date: 10/6/2022 GTIN:08714729904588

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

FDA-determined cause: Process control

Action taken

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.

Details

Recall number
Z-0773-2021
Initiated
December 1, 2020
Terminated
July 14, 2023
Product code
PCU – Pancreatic Stent, Covered, Metallic, Removable
Quantity
13 units
Distribution
US Nationwide distribution - Foreign: TBD.
Recalling firm
Boston Scientific Corporation, Marlborough, MA

Official FDA recall record

Other products in the same recall event

RecallProductInitiated
Z-0774-2021 Class IIAXIOS Stent and Electrocautery - Enhanced Delivery System 10mm x15mm UPN: M00553650 -…The rotating luer fitting at the distal end of the delivery system handle may become detached from the nose… 12/01/2020Terminated
Z-0775-2021 Class IIAXIOS Stent and Electrocautery - Enhanced Delivery System 20mm x10mm UPN: M00553660 -…The rotating luer fitting at the distal end of the delivery system handle may become detached from the nose… 12/01/2020Terminated
Z-0776-2021 Class IIHot AXIOS Stent and Electrocautery - Enhanced Delivery System 10mm x10mm (OUS) UPN:…The rotating luer fitting at the distal end of the delivery system handle may become detached from the nose… 12/01/2020Terminated
Z-0777-2021 Class IIHot AXIOS Stent and Electrocautery - Enhanced Delivery System 10mm x15mm (OUS) UPN:…The rotating luer fitting at the distal end of the delivery system handle may become detached from the nose… 12/01/2020Terminated
Z-0778-2021 Class IIHot AXIOS Stent and Electrocautery - Enhanced Delivery System 20mm x10mm (OUS) UPN:…The rotating luer fitting at the distal end of the delivery system handle may become detached from the nose… 12/01/2020Terminated