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Recall Observatory FDA recall evidence

Device product

EXALT Model D Single-Use Duodenoscope: Outer box UPN# M00542420 & Outer box UPN# M0054242CE0.

Z-0396-2024

September 27, 2023

Class II

Product summary

Firm
Boston Scientific Corporation
Event
Event 93281
Status
Ongoing
Classification
Class II
Quantity
US: 586 devices & OUS: 81 devices
Official record key
device-enforcement:Z-0396-2024

Official wording

Reason: Poor image quality due to fluid ingress in the lens.

Code information: UDI-DI (GTIN): 08714729983514, Outer box UPN# M00542420, Lot / Batch # 31137538, 31537335, 31228699, 31590604, 31257049, 31635405, 31257050, 31683854, 31258726, 31802917, 31329914, 31810037, 31398618, 31991955, 31438355, 32006891, 31473069, 32146684. UDI-DI (GTIN): 08714729995746, Outer box UPN# M0054242CE0, Lot / Batch # 31199348, 31712358, 31574944.

Distribution pattern: Worldwide - US Nationwide distribution including in the states of AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA VT, WA, WI & WV. The countries of Australia, Belgium, Canada, Czech Republic, Denmark, France, Germany, Great Britain, Italy, New Zealand, Spain, Sweden, Switzerland.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    Poor image quality due to fluid ingress in the lens.