ClearanceBrief
Recall Z-0078-04 ยท FFK Lithotriptor, Electro-Hydraulic

Electro Medical Systems (EMS SA)

LithoClast Foot Pedal, reference EK-166 Catalog Number: 840-703 Used as an accessory to the EMS Swiss LithoClast Master/Ultra, Catalog No 840-700.. Manufactured by EMS Electro Medical Systems S, Nyon, Switzerland. Distributed by Boston Scientifc/Microvasive,Natick, MA

DateOct 31, 2003 (initiated Oct 3, 2003)
StatusTerminated
ReasonFailure of foot pedal to activate device
Root causeOther
ActionEMS notified US Distributor Boston Scientific by letter dated 10/3/03 advising them to to determine the client base and provide replacement foot pedals to the final user. Boston Scientific/Microvasive notified Hospital Risk Managers by letter dated 10/6/03.Sales representatives will visit accounts to replace the foot pedal.
Quantity96 units
DistributionNationwide Government: VA Hospitals:Decatur, GA;Biloxi, MS; Omaha,NB, Oklahoma CIty, OK;Muskogee, OK, West Palm Beach, FL Walter Reed Army Medical Center, Washington, DC
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K012445EMS SWISS LITHOCLAST MASTER (A.K.A. SWISS LITHOCLAST ULTRA)
Electro Medical Systems SA, Aug 24, 2001