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Recall Observatory FDA recall evidence

Device product

Captivator II Single-Use Polypectomy Snares Outer box UPN, Inner Pouch UPN: M00561191 (Box 10), M00561190; M00561221 (Box 10), M00561220; M00561222 (Box 20), M00561220; M00561223 (Box 40), M00561220; M00561233 (Box 40), M00561230.

Z-1169-2021

January 19, 2021

Class II

Product summary

Firm
Boston Scientific Corporation
Event
Event 87221
Status
Ongoing
Classification
Class II
Quantity
335,788 units total (Domestic: 222,882, Foreign: 112,906)
Official record key
device-enforcement:Z-1169-2021

Official wording

Reason: Packaging Incomplete Seal. Users noted an incomplete pouch seal prior to using the device in a patient.

Code information: Outer box GTIN: 08714729855934 Inner pouch GTIN: 08714729861263 Lot/Batch#: 25053639 Outer box GTIN: 08714729855903 Inner pouch GTIN: 08714729861294 Lot/Batch#: 24948407, 24670592, 24679619, 24676929, 24939628 Outer box GTIN: 08714729861300 Inner pouch GTIN: 087147298 61294 Lot/Batch#: 24770325, 24952552, 24665104 Outer box GTIN: 08714729861317 Inner pouch GTIN: 08714729861294 Lot/Batch#: 24679614, 25054403 Outer box GTIN: 08714729861348 Inner pouch GTIN: 08714729861324 Lot/Batch#: 24772995

Distribution pattern: US nationwide distribution.

Derived failure modes

  • Labeling or packaging

    reason.labeling_packaging · v1.0.0

    Packaging Incomplete Seal. Users noted an incomplete