FDA Enforcement Class II Terminated

Medivators Endo carry-on Procedure Kit REF CPK-100222-0002 - Product Usage: is intended to be used with an air or CO2 source and/or a pump along with a sterile water source to supply air or CO2 and sterile water to an endoscope during endoscopic procedures.

Recall: Z-1778-2020 · Reported April 29, 2020

Enforcement

Recall Number
Z-1778-2020
Event ID
84109
Classification
Class II
Status
Terminated
Product Type
Devices
Firm
Medivators, Inc.
Voluntary / Mandated
Voluntary: Firm initiated
Initial Notification
Letter
Report Date
April 29, 2020
Initiation Date
October 9, 2019
Classification Date
April 23, 2020
Termination Date
December 11, 2020
Address
14605 28th Ave N, N/A, Plymouth, MN, 55447-4822, United States

Description

Medivators Endo carry-on Procedure Kit REF CPK-100222-0002 - Product Usage: is intended to be used with an air or CO2 source and/or a pump along with a sterile water source to supply air or CO2 and sterile water to an endoscope during endoscopic procedures.

Reason

Medivators is recalling Endo SmartCap Tubing due to a manufacturing anomaly that may present during procedures as inadequate insufflation, presence of air bubbles inside the endo smartcap tubing, insufficient water to rinse the endoscope lens, or water leaking from the air/water valve.

Code Info

Lot # 1000028736 GTIN: 00677964086045 Use-by date: 210120

Distribution

Worldwide distribution - US Nationwide distribution and the countries of Australia, England.

Quantity

53,790 units total