BEUDAMED
    FDA Recall Terminated

    EndoVive 3s Low Profile Balloon Kits Part Number: M00548750 (XMD P/N 70-0050-A18)

    Recall: Z-0977-2016 · Initiated December 23, 2015

    Recall

    Recall Number
    Z-0977-2016
    Event Number
    73024
    Firm
    Xeridiem Mediem Medical Devices Inc
    FEI Number
    2025851
    Product Code
    PIF
    Status
    Terminated
    Root Cause
    Device Design
    Initiated
    December 23, 2015
    Terminated
    October 25, 2016
    Address
    4700 S Overland Dr, Tucson, AZ, 85714-3430

    Description

    EndoVive 3s Low Profile Balloon Kits Part Number: M00548750 (XMD P/N 70-0050-A18)

    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.

    Action

    Xeridiem sent a customer notification letter dated December 23, 2015, to all affected customers. The letter identified the product, the problem, and the action to be taken by the customer. Customer was provided the following instructions: 1. Segregate all devices from the above table that in Boston Scientific Corporation's inventory and restrict them from being distributed to end users. 2. Determine the list of end users who have received devices from the above list, notify them of the quality issue, and have these devices returned to Boston Scientific Corporation. Provide Xeridiem Medical Devices with this list of end users. For any questions the customers is instructed to contact the firm. For questions regarding this recall call 520-882-7794.

    Distribution

    Nationwide distribution to MA only.

    Quantity

    39