BEUDAMED
    FDA Enforcement Class I Terminated

    ACIST Kodama Intravascular Ultrasound Catheter The Kodama Intravascular Ultrasound Catheter is a component of the ACIST HDi System. The ACIST HDi System is intended to be used for ultrasound examination of coronary and peripheral intravascular pathology. Intravascular ultrasound imaging is indicated in patients who are candidates for transluminal interventional procedures. The ACIST Kodama Intravascular Ultrasound Catheter is intended for use with the ACIST HDi System.

    Recall: Z-1161-2021 · Reported March 10, 2021

    Enforcement

    Recall Number
    Z-1161-2021
    Event ID
    87254
    Classification
    Class I
    Status
    Terminated
    Product Type
    Devices
    Firm
    Acist Medical Systems
    Voluntary / Mandated
    Voluntary: Firm initiated
    Initial Notification
    Letter
    Report Date
    March 10, 2021
    Initiation Date
    January 22, 2021
    Classification Date
    March 4, 2021
    Termination Date
    October 30, 2023
    Address
    7905 Fuller Rd, Eden Prairie, MN, 55344-2137, United States

    Description

    ACIST Kodama Intravascular Ultrasound Catheter The Kodama Intravascular Ultrasound Catheter is a component of the ACIST HDi System. The ACIST HDi System is intended to be used for ultrasound examination of coronary and peripheral intravascular pathology. Intravascular ultrasound imaging is indicated in patients who are candidates for transluminal interventional procedures. The ACIST Kodama Intravascular Ultrasound Catheter is intended for use with the ACIST HDi System.

    Reason

    Test results from the manufacturing line found a piece of damaged o-ring in an unexpected section of the catheter. Further testing indicated that pieces (>200 micron) of damaged o-ring had the potential to be flushed out of the catheter. ACIST is confirming the source of the failure mode to assure the quality and reliability of the Kodama catheter. There have been no related field reports related to this incident, nor any evidence or report of patient injury or adverse health consequence.

    Code Info

    Model Number: 017788, 018125 (Japan only); Lot codes: 00233370 (100 units), 00233371 (90 units), 00233372 (100 units), 00233373 (100 units), 00233374 (100 units), 00233380 (100 units), 00233384 (60 units), 00233385 (100 units), 00233393 (100 units), 00233394 (100 units), 00237604 (35 units), 00237613 (100 units), 03012517 (100 units)

    Distribution

    Worldwide - US Nationwide Distribution in the states of AL, AR, CA, CO, FL, IL, KS, KY, LA, MD, MI, MO, NC, NJ, NY, OK, PA, RI, TN; In the countries of India, Italy, Japan, Poland, and United Arab Emirates.

    Quantity

    1185 units