FDA Enforcement Class II Terminated

Torque wrench used on the bolts for the Symbia T2 model 10275008, Symbia Intevo Excel model 10764801, Symbia Intevo 16 model 10764804, Symbia Evo model 10910500, and Symbia Evo Excel model 10910501 devices.

Recall: Z-0047-2018 · Reported November 1, 2017

Enforcement

Recall Number
Z-0047-2018
Event ID
78086
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Siemens Medical Solutions USA, Inc.
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Two or more of the following: Email, Fax, Letter, Press Release, Telephone, Visit
Report Date
November 1, 2017
Initiation Date
September 18, 2017
Classification Date
October 25, 2017
Termination Date
December 11, 2017
Address
2501 Barrington Rd, N/A, Hoffman Estates, IL, 60192-2061, United States

Description

Torque wrench used on the bolts for the Symbia T2 model 10275008, Symbia Intevo Excel model 10764801, Symbia Intevo 16 model 10764804, Symbia Evo model 10910500, and Symbia Evo Excel model 10910501 devices.

Reason

The torque wrench used to tighten system bolts during installation was found to be out of tolerance

Code Info

Symbia T2 serial number 2001; Symbia Intevo Excel serial numbers 2112 and 2140; Symbia Intevo 16 serial numbers 2100 and 2116; Symbia Evo serial numbers 1049, 1054, 1071, 1075, 1104, and 1128; and Symbia Evo Excel serial numbers 1109, 1111, 1131, 1134, and 1158.

Distribution

Distribution was made to medical facilities located in CA, FL, GA, LA, NY, PA, and TN. There was government distribution but no foreign/military distribution.

Quantity

16 devices