FDA Enforcement Class II Terminated

EndoVive 3s Low Profile Balloon Kits Part Number: M00549430 (XMD P/N 70-0050-D22) The EndoVive 3s Low Profile Balloon is intended to provide gastric access through a gastrointestinal stoma tract for enteral feeding, medication administration and gastric decompression. The EndoVive 3s Low Profile Balloon is indicated for use in adult and pediatric patients who require long-term feeding, are unable to tolerate oral feeding, are at low risk for aspiration or require gastric decompression and/or medication delivery directly into the stomach.

Recall: Z-0997-2016 · Reported March 2, 2016

Enforcement

Recall Number
Z-0997-2016
Event ID
73024
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Xeridiem Mediem Medical Devices Inc
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
March 2, 2016
Initiation Date
December 23, 2015
Classification Date
February 25, 2016
Termination Date
October 25, 2016
Address
4700 S Overland Dr, N/A, Tucson, AZ, 85714-3430, United States

Description

EndoVive 3s Low Profile Balloon Kits Part Number: M00549430 (XMD P/N 70-0050-D22) The EndoVive 3s Low Profile Balloon is intended to provide gastric access through a gastrointestinal stoma tract for enteral feeding, medication administration and gastric decompression. The EndoVive 3s Low Profile Balloon is indicated for use in adult and pediatric patients who require long-term feeding, are unable to tolerate oral feeding, are at low risk for aspiration or require gastric decompression and/or medication delivery directly into the stomach.

Reason

A feeding (reflux) valve leakage issue. The feeding valve appears to close inconsistently, or close in a delayed manner, when an extension set is disconnected from the Low Profile Balloon device, thus allowing feeding solution or gastric contents to leak out of the device in some instances.

Code Info

Part Number: M00549430 (XMD P/N 70-0050-D22) Lot Number: 930149

Distribution

Nationwide distribution to MA only.

Quantity

40