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EXALT recallZ-1492-2021 · Boston Scientific Corporation · initiated Mar 16, 2021

Terminated

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 Boston Scientific Corporation 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

May have been programmed with a less than optimal brightness setting resulting in a darker than desired image

FDA root cause category: Process control

What the company is doing

Boston Scientific issued Medical Device Removal - Immediate Action Required letter on 3/16/21. Letter states reason for recall, health risk and action to take: While no adverse health consequences are anticipated and an impacted Controller can continue to be used, replacement of the Controller is advised for optimal image quality. A Boston Scientific representative will be in contact with you directly to schedule installation of a replacement Controller at your facility. If you notice a darker than desired image, manually adjust the brightness setting on the front of the EXALT" Controller to the High setting (all five bars on the Brightness Indicator illuminated) A Boston Scientific representative will be in contact with you directly to schedule the installation of a replacement Controller at your facility. Your current Controller will be removed at that time. Please read carefully through the enclosed instructions. We ask that you please confirm receipt of this notification by completing the enclosed Acknowledgement Form and sending it to [email protected] or fax to 763-415-7708.

Recall details

Recall number
Z-1492-2021
Status
Terminated
Initiated by the company
Mar 16, 2021
Recalling firm
Boston Scientific Corporation
Quantity
3 units
Product code
FDT
Distribution
US Nationwide distribution in the states of CA, FL, NJ.

Product description

EXALT Controller - Product Usage: intended for use with a Boston Scientific endoscope for endoscopic diagnosis, treatment, and video observation. UPN: M00542430

Code information (models, lots, serial numbers)

Serial Numbers:  2005201213 2005201287  2005201346  GTIN: 08714729990901

Devices named in this recall

1 device in the FDA device registry whose identifier appears in the recall's code information.

Product lines

Sources and updates

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