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Duodenoscope recallZ-2277-2016 · Pentax Medical Company · initiated Apr 6, 2016

Class II Terminated All recalls posted in July 2016

Is my device affected?

  1. Compare the model, catalog and lot or serial numbers on your device or its packaging with the code information below. A recall usually covers only specific models or lots.
  2. If yours is listed, follow the instructions from Pentax Medical Company or your healthcare provider. The company's action is summarized under what the company is doing.
  3. Do not stop using a prescribed or implanted device on your own — talk to your healthcare provider first.

Where to find your model and lot numbers · What recall classes and statuses mean

Why it was recalled

Pentax Medical Video Processor EPK-i5010 has been shipped with a reusable Pentax Medical water bottle assembly (OS-H4) which has not been cleared for use with this devices in the United States.

FDA root cause category: Device Design

What the company is doing

Pentax Medical sent an "Urgent Field Correction Letter and Response Form" dated April 6, 2016 via Certified Mail to their affected customers. The recall letter identified the product, problem and action to be taken by customer. The customer is asked to complete the response form even if the customers does not have any OS-H2/OS-H4 water bottles to discard. If customer needs assistance in completing the response form, they can contact their local sales representative. For questions regarding the recall, customers can contact Mr. Paul Silva, Pentax Americas Recall Coordinator at: (800) 431-5880 ext. 2064, from (8:30 am - 5:00 pm, Monday - Friday, EST), via fax: (201) 799-4063 or via email to: [email protected].

Recall details

Recall number
Z-2277-2016
Recall class
Class II
Status
Terminated
Initiated by the company
Apr 6, 2016
Posted by the FDA
Jul 23, 2016
Recalling firm
Pentax Medical Company
Quantity
433 units
Product code
FDT
FDA submissions
K963056
Distribution
US Nationwide Distribution

Product description

Duodenoscope Product Usage: Intended to provide optical visualization of and therapeutic access to the Gastrointestinal Tract. This anatomy includes, but is not restricted to, the organs; tissues; and subsystems: Esophagus, Stomach, Duodenum, and Large Bowel to the Cecum. The instrument is introduced via the mouth or rectum as decided by the the anatomy being accessed when indications consistent with the need for procedure are observed in adult and pediatric patient populations.

Code information (models, lots, serial numbers)

Model #'s FD-34V and ED-3490TK

Other devices under the same FDA submission

1 device cleared under K963056 — the recall does not name any of them by identifier. One submission often covers many models, so they may or may not be affected.

Sources and updates

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