ClearanceBrief
Recall Z-0112-2014 ยท FDS Gastroscope And Accessories, Flexible/Rigid

Fujinon Inc

Fujinon/Fujifilm Ultrasonic Endoscope Intended to provide ultrasonic images of submucosal and peripheral organs of the upper gastrointestinal tract for observation, diagnosis and endoscopic treatment.

DateOct 30, 2013 (initiated Jul 31, 2013)
StatusTerminated
ReasonA limited number of endoscopes were shipped to FMSU-ESD with a manufacturing defect which included missing set screws used to more securely attach the Forceps Inlet (biopsy inlet port) to the endoscope.
Root causeUnknown/Undetermined by firm
ActionThe firm, FUJIFILM Medical Systems, USA, Inc. (FMSU-ESD) sent an "URGENT-MEDICAL DEVICE CORRECTION (UMDC)" and Customer Acknowledgement forms dated July 31, 2013 to their customers. The letter described the issue with the affected product; instructed customers on how to identify affected units; instructed customers to immediately cease use of the affected units; return affected units to FMSU-ESD for repairs and quality control inspection; and complete and return the attached "Customers Acknowledgement" form to FMSU-ESD, Attn: Regulatory Compliance, via fax to (973) 686-2616 or email: gwalljas
Quantity12 Units
DistributionWorldwide distribution: US (nationwide) including states of: NJ, PA and VA; and country of Canada.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K120446FUJINON/FUJIFILM ULTRASONIC ENDOSCOPE EG-530UR2 AND EG-530UT2
Fujinon, Inc., Aug 13, 2012